Kodi Long Jackson, PA
NPI 1588373716ActiveIndividual· Physician Assistant· Jackson, MS
Physician Assistant (PA) with St. Dominic Medical Associates LLC and 2 other groups, practicing in Jackson, Mississippi. Their prescriptions cost Medicare Part D more than their services did: $55,620 for 495 claims, against $22,234 paid for services in 2024. Abiomed was the largest of 2 companies reporting payments in 2025, $96.23 in all, mostly food and beverage. Lists St Dominic-Jackson Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1588373716 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 16, 2022 |
| Last updated in NPPES | Nov 3, 2025 |
| Certified by provider | Nov 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 Practitioner - Physician Assistant (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 234 |
|---|---|
| Services billed | 465 across 18 procedure codes |
| Paid by Medicare | $22,234 |
Part D prescriptions in 2024
| Prescriptions (claims) | 495 · 789 30-day fills |
|---|---|
| Patients | 157 |
| Total drug cost | $55,620 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St. Dominic Medical Associates LLCMadison, MS · 132 clinicians
- Rh Mississippi Hospitalist Medicine LLCJackson, MS · 71 clinicians
- St. Dominic Jackson MemorialJackson, MS · 58 clinicians
Hospital affiliation
- St Dominic-Jackson Memorial HospitalJackson, MS
Industry payments (Open Payments)
- 2025$96.23 · 2 payments from 2 companies
- 2024$359.74 · 14 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $81.32 | 1 |
| Amgen Inc. | $14.91 | 1 |
What the 2025 payments were for
- Food and Beverage$96.23 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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