Doctor profile · Federal record

Dr. Chaka Jackson

Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Hattiesburg, MS

  • NPI 1922683580
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
415 S 28Th Ave
Hattiesburg, MS 394017246
(601) 261-3606
fax (601) 579-5240

Credentials & registration

NPPES · NUCC
NPI registered
March 2021 — 5 yrs on file
Profile last updated
September 13, 2021
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
367500000X — NUCC code
State license (1)
Mississippi #901694
Medicaid
MS #02957796

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1922683580. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
25
Distinct HCPCS
2
Medicare allowed
$2,984
HCPCS Description Services Patients Avg allowed
00811 Anesthesia for other procedure on large bowel using an endoscope 14 14 $121
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 11 11 $117

In context: peer comparison

Among 37 peers in Hattiesburg Certified Registered Nurse Anesthetist, average services per provider: 30. This provider delivers 0.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Chaka Jackson's medical specialty?
Dr. Chaka Jackson practices Certified Registered Nurse Anesthetist in Hattiesburg, MS.
Where does Dr. Chaka Jackson practice?
Dr. Chaka Jackson practices at 415 S 28Th Ave, Hattiesburg, MS 394017246. Office phone: 6012613606.
What is Dr. Chaka Jackson's NPI?
Dr. Chaka Jackson's National Provider Identifier (NPI) is 1922683580, issued by NPPES.
Does Dr. Chaka Jackson accept Medicare assignment?
Yes. Dr. Chaka Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Chaka Jackson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.