Jacob Gray Lackey, PA-C
NPI 1699178731ActiveIndividual· Physician Assistant· Clemmons, NC
Physician Assistant (PA-C) with Appalachian Regional Medical Associates Inc, practicing in Clemmons, North Carolina. 393 Medicare patients in 2024, $97,033 paid; all of their 283 Part D prescriptions were generic. Pacira Pharmaceuticals Incorporated was the largest of 4 companies reporting payments in 2025, $184.91 in all, mostly food and beverage. Lists Ashe Memorial Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1699178731 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 3, 2014 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-05288 | NC |
| Physician Assistant, Medical | 363AM0700X | 001005288 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 10,873 across 59 procedure codes |
| Paid by Medicare | $97,033 |
Part D prescriptions in 2024
| Prescriptions (claims) | 283 · 289 30-day fills |
|---|---|
| Patients | 184 |
| Total drug cost | $1,152 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Appalachian Regional Medical Associates IncBoone, NC · 146 clinicians
Hospital affiliations
- Ashe Memorial HospitalJefferson, NC
- Caldwell Memorial HospitalLenoir, NC
- Charles A Cannon Jr Memorial HospitalLinville, NC
- Watauga Medical CenterBoone, NC
Industry payments (Open Payments)
- 2025$184.91 · 7 payments from 4 companies
- 2024$140.44 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | $56.02 | 2 |
| Vertex Pharmaceuticals Incorporated | $53.84 | 2 |
| Stryker Corporation | $41.98 | 1 |
| Ferring Pharmaceuticals Inc. | $33.07 | 2 |
What the 2025 payments were for
- Food and Beverage$184.91 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 43 physician assistants in Clemmons · All physician assistants in North Carolina