Tabitha Jaggers, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA738 Issued in AR

Practice address

5506 W Walsh LN Ste 204
Rogers, AR 72758-9001

Phone

(479) 250-3337

Fax

(479) 800-1122

NPI assigned

Oct 13, 2017

Sex

Female

Sole proprietor

Yes

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 AR

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

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tabitha.jaggers.1@15024.direct.athenahealth.com

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.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647

  AR

  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1841996113
  NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1982115218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720182860",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 W WALSH LN STE 204",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589001",
            "telephone_number": "479-250-3337",
            "fax_number": "479-800-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGERS",
        "first_name": "TABITHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Jackson
• Sandra Dee Jackson
• Svetlana Jackson, LAC
• Syndey Jackson
• Dominic Amadeo Jacobelli, MD
• James B Baker DO PA
• James C. Varner, D.D.S, PA
• Ashley Worden James, MS CCC SLP
• Christina Faith James, ANP
• Erin Renea James, D.D.S.

• All providers in Rogers, AR
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.