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

Timothy L Jackson, PA-C

Individual provider Physician Assistant · NPI 1982623625

Timothy L Jackson, PA-C is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2002, 24 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
24
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5249 Providence Rd
Virginia Beach, VA 23464-4201
Phone: (757) 467-3900
Fax: (757) 467-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3825 Conlon Way #100, Elizabeth City, NC 27909 — (252) 331-5869
  • 5589 N Croatan Hwy, Kitty Hawk, NC 27949-3996 — (252) 715-0610
  • 2206 Executive Dr Ste F, Hampton, VA 23666-2583 — (757) 825-1440
  • 525 S Independence Blvd Ste 215, Virginia Beach, VA 23452-1188 — (757) 467-3900
  • 1157 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2432 — (757) 333-8001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002037 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-00505 (NC)

Record details

NPI number1982623625
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Virginia Beach