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

Dominique L. Jackson, DMSC, PA-C

Individual provider Physician Assistant · NPI 1841054392

Dominique L. Jackson, DMSC, PA-C is a Physician Assistant in Kings Mountain, North Carolina. Qualified in 2023, 3 years ago. Practices with Gaston Family Health Services Inc, a 98-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

812 W King St
Kings Mountain, NC 28086-2748
Phone: (704) 739-5456
Fax: (704) 739-5271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14318 (NC)

Record details

NPI number1841054392
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMSC , PA-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Gaston Family Health Services Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kings Mountain