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

Mr. Jackson W McKim, CAA

Individual provider Anesthesiologist Assistant · NPI 1902779051

Mr. Jackson W McKim, CAA is an Anesthesiology Assistant in Saint Louis, Missouri. Graduated from Emory University School of Medicine in 2025, 1 year ago. Practices with Western Anesthesiology Associates Inc, a 254-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Trained at
Emory University School of Medicine
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
Fax: (636) 386-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence PENDING (MO)

Record details

NPI number1902779051
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Western Anesthesiology Associates Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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