Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carl Jackson, PA-C

Individual provider Physician Assistant · NPI 1902263270

Carl Jackson, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2015, 11 years ago. Practices with Usacs Observation Medicine Services of Oklahoma, LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
11
Licensed in
OK
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8801 S 101st East Ave
Tulsa, OK 74133-5716
Phone: (918) 579-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 2616 (OK)

Record details

NPI number1902263270
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016
Mailing address22096 S 445th East Ave, Porter, OK 74454-3239

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Usacs Observation Medicine Services Of Oklahoma, Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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