Active NPI
Ken Jackson, P.A.
- Physician Assistant
- Lockney, TX
National Provider Identifier
1659376341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01096
- Practice address
- 320 N Main
Lockney, TX 79241-0037 - Phone
- (806) 652-3373
- Fax
- (806) 652-2417
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01096 | TX | Primary |
Addresses
Primary practice location
320 N Main
Lockney, TX 79241-0037
Mailing address
PO Box 37
Lockney, TX 79241-0037
Phone (806) 652-3373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01096 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659376341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "LOCKNEY",
"state": "TX",
"postal_code": "792410037",
"telephone_number": "806-652-3373",
"fax_number": "806-652-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAIN",
"city": "LOCKNEY",
"state": "TX",
"postal_code": "792410037",
"telephone_number": "806-652-3373",
"fax_number": "806-652-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "KEN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.