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

Mr. Kevin W Jackson, PA-C

Individual provider Physician Assistant · NPI 1871986083

Mr. Kevin W Jackson, PA-C is a Physician Assistant in Celina, Ohio. Qualified in 2014, 12 years ago. Practices with Joint Township District Memorial Hospital, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
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

801 Pro Dr Ste D1
Celina, OH 45822-3307
Phone: (419) 586-6489
Fax: (419) 586-8509
Show map & directions

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

Additional practice locations (1)

  • 812 Redskin Trl, Wapakoneta, OH 45895-8545 — (419) 586-6489

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.004297RX (OH)

Record details

NPI number1871986083
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2015
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Joint Township District Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Celina