Mark E Jackson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102331 Issued in NC

Practice address

800 Fleming St
Hendersonville, NC 28791-3528

Phone

(828) 698-4318

Fax

(828) 698-4322

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Hendersonville Emergency Consultants PC

  • Emergency Medicine Physician
  • Hendersonville, NC
  • NPI 1942203088
  NPD (past)
• Rutherford Emergency Medicine PA

  • Emergency Medicine Physician
  • Rutherfordton, NC
  • NPI 1700801636
  NPD (past)
• Sterling Emergency Services of the Southeast, Inc

  • Emergency Medicine Physician
  • Salisbury, NC
  • NPI 1770541245

  Physician Assistant

  NPD (past)
• TST Medical, P.a.

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1053384859
  NPD (past)
• Vein Center at Allure Medical Spa, PLLC

  • Surgery Physician
  • Shelby Township, MI
  • NPI 1457302051
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1275536013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913528",
            "telephone_number": "828-698-4318",
            "fax_number": "828-698-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913528",
            "telephone_number": "828-698-4318",
            "fax_number": "828-698-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zayden Lee Isaacs
• Andrew Daniel Ives, FNP
• Stephanie Langefeld Izard, FNP-BC
• J3 Counseling and Life Coaching PLLC
• Don V Jackson Jr., MD
• Trevor Jackson
• Kristin D Jaeger, LCAS
• Whitney Jakubus
• James G Hupp DMD Ms PA
• James Ivey Bright

• Physician Assistant in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.