Doctor profile · Federal record
Dr. Micah Jackson, PA
Physician Assistant · Tyler, TX
- NPI 1558665703
- 15 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1814 Roseland Blvd, Suite 200
Tyler, TX 757014234
(903) 592-6000 - Mailing address
-
700 Olympic Plaza Cir, Ste 700
Tyler, TX 757011954
Credentials & registration
- NPI registered
- January 2011 — 15 yrs on file
- Profile last updated
- April 19, 2016
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Texas #PA06963
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558665703. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $22.15 |
By nature of payment
Frequently asked questions
What is Dr. Micah Jackson's medical specialty?
Dr. Micah Jackson practices Physician Assistant in Tyler, TX.
Where does Dr. Micah Jackson practice?
Dr. Micah Jackson practices at 1814 Roseland Blvd, Tyler, TX 757014234. Office phone: 9035926000.
What is Dr. Micah Jackson's NPI?
Dr. Micah Jackson's National Provider Identifier (NPI) is 1558665703, issued by NPPES.