Doctor profile · Federal record
Dr. Carol Jackson, PA-C
Physician Assistant · Philadelphia, PA
- NPI 1457567265
- MIPS 72.5 / 100 · 2023
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
333 Cottman Ave
Philadelphia, PA 191112434
(215) 728-6900
fax (215) 728-2773 - Mailing address
-
3500 N. Broad St. Room 001A
Philadelphia, PA 191404106
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- December 1, 2022
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Pennsylvania #MA052046
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457567265. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genmab U.S., Inc. | 1 | $16.40 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
34
Patients
15
Total drug cost
$337
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 19 | 15 | $188 |
| Levothyroxine Sodium | Generic | 15 | 0 | $148 |
Frequently asked questions
What is Dr. Carol Jackson's medical specialty?
Dr. Carol Jackson practices Physician Assistant in Philadelphia, PA.
Where does Dr. Carol Jackson practice?
Dr. Carol Jackson practices at 333 Cottman Ave, Philadelphia, PA 191112434. Office phone: 2157286900.
What is Dr. Carol Jackson's NPI?
Dr. Carol Jackson's National Provider Identifier (NPI) is 1457567265, issued by NPPES.