Micah Roy Jackson, PA
NPI 1558665703ActiveIndividual· Physician Assistant· Tyler, TX
Physician Assistant (PA) in Tyler, Texas, licensed in TX, with an NPI issued in January 2011. Enrolled in Medicare as practitioner - physician assistant. Abbvie Inc. reported $22.15 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1558665703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 3, 2011 |
| Last updated in NPPES | Apr 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA06963 | TX |
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 - Physician Assistant (TX) |
|---|
Industry payments (Open Payments)
- 2024$22.15 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $22.15 | 1 |
What the 2024 payments were for
- Food and Beverage$22.15 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Tyler
- 1003098807
- 1013973791
- 1053537274
- 1073934568
- 1093814949
- 1114969060
- 1114971058
- 1154302719
- 1215967823
- 1265472880
- 1275053910
- 1275648834
All 103 physician assistants in Tyler · All physician assistants in Texas