Jackson B Austin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2052 Issued in WV

Practice address

701 Madison Ave
Madison, WV 25130-1669

Phone

(304) 369-1230

NPI assigned

Jul 18, 2017

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

Enrolled in WV

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln County Primary Care Center Inc 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jackson.austin.1@6401.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2777/brand/1/csg/1/fhir/r4

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.

• Lincoln County Primary Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1720586472

  WV

  Medicare reassignment Care Compare group NPD
• Lincoln County Primary Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Wharton, WV
  • NPI 1821790692

  WV

  Medicare reassignment Care Compare group NPD
• Lincoln County Primary Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Oceana, WV
  • NPI 1912609785

  WV

  Medicare reassignment Care Compare group NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hamlin, WV
  • NPI 1942274543

  WV

  Medicare reassignment Care Compare group NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • South Charleston, WV
  • NPI 1457610594

  WV

  Medicare reassignment Care Compare group
• Boone Memorial Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Madison, WV
  • NPI 1285686725

  WV

  Medicare reassignment NPD
• Lincoln County Primary Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
  • NPI 1043010630
  Care Compare group NPD
• Lincoln County Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Logan, WV
  • NPI 1023331220
  Care Compare group NPD
• Lincoln County Primary Care Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Salt Rock, WV
  • NPI 1942509856
  Care Compare group NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Delbarton, WV
  • NPI 1033490149
  Care Compare group NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Branchland, WV
  • NPI 1255521027
  Care Compare group NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Man, WV
  • NPI 1689997678
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1346763786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 S MOUNTAIN RD",
            "city": "POUND",
            "state": "VA",
            "postal_code": "242794735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MADISON AVE",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301669",
            "telephone_number": "304-369-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JACKSON",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Irene Armstrong
• Wendy Asbury
• Atkins DDS Inc
• Erin Atkins
• Joseph Atkins, DDS
• Jacqueline Kay Bailey X
• Tammi Lynn Bailey, PROVISIONALLY LPC
• Dawn Marie Baisden
• Leah Baldwin
• Mikayla Baldwin

• All providers in Madison, WV
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.