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

Mrs. Samantha Jackson, PAC

Individual provider Physician Assistant · NPI 1801191754

Mrs. Samantha Jackson, PAC is a Physician Assistant in Reidsville, North Carolina. Qualified in 2010, 16 years ago. Practices with Eagle Physicians and Associates PA, a 101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1818 Richardson Dr
Reidsville, NC 27320-5451
Phone: (336) 349-5040
Fax: (336) 369-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1510 Nc Highway 68 N, Oak Ridge, NC 27310-9733 — (336) 644-0111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02724 (NC)

Record details

NPI number1801191754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 24, 2011
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Eagle Physicians And Associates Pa — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Reidsville