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

Jackson Ellis Kimbrough, PA

Individual provider Physician Assistant · NPI 1639064900

Jackson Ellis Kimbrough, PA is a Physician Assistant in Birmingham, Alabama. Qualified in 2025, 1 year ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

619 19th St S
Birmingham, AL 35233-1900
Phone: (205) 934-4011
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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.2760 (AL)

Record details

NPI number1639064900
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 9, 2025
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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