Individual provider Active NPI

Sarah Ann Jackson

  • Physician Assistant
  • Webster, TX
National Provider Identifier
1255222337
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19504 Issued in TX
Practice address
600 N Kobayashi Ste 112
Webster, TX 77598-4841
Phone
(346) 642-6891
NPI assigned
Jul 15, 2025
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19504 TX Primary

Addresses

Primary practice location

600 N Kobayashi Ste 112
Webster, TX 77598-4841

Mailing address

600 N Kobayashi Ste 112
Webster, TX 77598-4841
Phone (346) 642-6891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117003046 TX Practitioner - Physician Assistant 9335630425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2208 Stillhouse Hollow LN
Friendswood, TX 77546-4684

5407 Menard Ave
Galveston, TX 77551-4772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19504TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jajja Health PLLC CurrentSince Sep 1, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1602 W Baker Rd
Ste A
Baytown, TX 77521
Phone (281) 428-4024

600 N Kobayashi
Ste 112
Webster, TX 77598
Phone (346) 642-6891

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGDD/Endpoint/CCDGDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1255222337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 112",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984841",
            "telephone_number": "346-642-6891",
            "fax_number": "346-642-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 112",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984841",
            "telephone_number": "346-642-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.