Randall Jackson, CFNP
NPI 1144614165ActiveIndividual· Nurse Practitioner, Acute Care· McComb, MS
Nurse Practitioner, Acute Care (CFNP) with Southwest Mississippi Regional Medical Center, practicing in McComb, Mississippi. 101 Medicare patients in 2024, $13,036 paid; nearly all of their 197 Part D prescriptions were generic (91%). Lists Southwest Ms Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1144614165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CFNP |
| Sole proprietor | No |
| NPI issued | Mar 27, 2015 |
| Last updated in NPPES | May 2, 2022 |
| Certified by provider | May 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 878547 | MS |
| Nurse Practitioner, Family | 363LF0000X | R878547 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 101 |
|---|---|
| Services billed | 238 across 6 procedure codes |
| Paid by Medicare | $13,036 |
Part D prescriptions in 2024
| Prescriptions (claims) | 197 · 204 30-day fills |
|---|---|
| Patients | 91 |
| Total drug cost | $9,062 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southwest Mississippi Regional Medical CenterMcComb, MS · 83 clinicians
Hospital affiliation
- Southwest Ms Regional Medical CenterMcComb, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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