Samantha Jackson MD PLLC
NPI 1275973646ActiveOrganization· Family Medicine· Hobart, OK
Family Medicine in Hobart, Oklahoma, registered in NPPES in July 2013, part of Samantha L Jackson MD. The authorized official on file is Samantha L. Jackson, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275973646 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Samantha L Jackson MD |
| NPI issued | Jul 1, 2013 |
| Last updated in NPPES | Jan 16, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 19876 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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