Emma Carol Jackson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10005272A Issued in IN

Practice address

415 S Landmark Ave
Bloomington, IN 47403-5003

Phone

(812) 333-7433

Fax

(812) 333-7435

NPI assigned

Mar 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 7

Medicare fee-for-service enrollment

Enrolled in IN

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, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Seymour, IN
  • NPI 1659796225
  Medicare reassignment

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1841148988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035003",
            "telephone_number": "812-333-7433",
            "fax_number": "812-333-7435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015687",
            "country_code": "US",
            "telephone_number": "812-669-0141",
            "fax_number": "812-799-7062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S Walnut St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472742368",
            "country_code": "US",
            "telephone_number": "812-358-7705",
            "fax_number": "888-254-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W Homer St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IN",
            "postal_code": "471671698",
            "country_code": "US",
            "telephone_number": "812-883-0024",
            "fax_number": "812-883-8574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 W Sycamore St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469016461",
            "country_code": "US",
            "telephone_number": "765-457-4455",
            "fax_number": "765-457-0056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1428 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471708720",
            "country_code": "US",
            "telephone_number": "812-752-3512",
            "fax_number": "812-752-3784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 Hospital Dr NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122173",
            "country_code": "US",
            "telephone_number": "812-572-4839",
            "fax_number": "812-733-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EMMA",
        "middle_name": "CAROL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10005272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "303 S Walnut St",
            "city": "Seymour",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472742368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2130 W Sycamore St Ste 200",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469016461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "505 W Homer St Ste 201",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471671698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "415 S Landmark Ave",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474035003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1428 N Gardner St",
            "city": "Scottsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471708720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "244 Westwood Blvd",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emma.Jackson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1263 Hospital Dr NW Ste 100",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J M C L Inc
• Samantha Jablonsky, RBT
• Jackson Creek Dental
• Jackson Creek Dental
• Brianne Jackson
• Jeffrey L Jackson, MD
• Julia Jackson, RBT
• Libby Jackson, RBT
• Sydney Sophia Lauren Jacob
• Cherish Hope Jacobs-Tuttle

• Physician Assistant in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.