Doctor profile · Federal record
Dr. Holly Jackson, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Southaven, MS
- NPI 1720575392
- Accepts Medicare
- 21 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
7601 Southcrest Pkwy
Southaven, MS 386714739
(662) 772-4333
fax (855) 999-1345 - Mailing address
-
7956 Vaughn RD # 165
Montgomery, AL 361166625
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Mississippi #901371
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720575392. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
162
Distinct HCPCS
3
Medicare allowed
$18,636
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 114 | 111 | $121 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 29 | 26 | $111 | |
00812 |
Anesthesia for exam of colon using an endoscope | 19 | 19 | $86 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 20. This provider delivers 8.1× the peer median.Frequently asked questions
What is Dr. Holly Jackson's medical specialty?
Dr. Holly Jackson practices Certified Registered Nurse Anesthetist in Southaven, MS.
Where does Dr. Holly Jackson practice?
Dr. Holly Jackson practices at 7601 Southcrest Pkwy, Southaven, MS 386714739. Office phone: 6627724333.
What is Dr. Holly Jackson's NPI?
Dr. Holly Jackson's National Provider Identifier (NPI) is 1720575392, issued by NPPES.
Does Dr. Holly Jackson accept Medicare assignment?
Yes. Dr. Holly Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Holly Jackson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.