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

Lillie Jackson, PA

Individual provider Physician Assistant · NPI 1881047710

Lillie Jackson, PA is a Physician Assistant in Birmingham, Alabama. Qualified in 2015, 11 years ago. Practices with Metro Infectious Disease Consultants LLC, a 391-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
11
Licensed in
AL
In the registry since
2016
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

4704 Cahaba River Rd # 101D
Birmingham, AL 35243-2344
Phone: (205) 739-2266
Fax: (205) 739-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Ridgeway Dr, Birmingham, AL 35209-5506 — (205) 868-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.1146 (AL)

Record details

NPI number1881047710
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 15, 2016
Last updated in NPPESDecember 31, 2018
Mailing addressPo Box 2391, Birmingham, AL 35201-2391

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 Metro Infectious Disease Consultants Llc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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