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

Mark Jackson, PA

Individual provider Physician Assistant · NPI 1205815982

Mark Jackson, PA is a Physician Assistant in Pikeville, Kentucky. Graduated from University of Kentucky College of Medicine in 1995, 31 years ago. Practices with Pikeville Medical Center Inc, a 428-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
31
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2006
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

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone: (606) 430-2206
Fax: (606) 218-7506
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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 PA290 (KY)

Record details

NPI number1205815982
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing addressPo Box 432, Pikeville, KY 41502-0432

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Pikeville Medical Center Inc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pikeville