AMBER JACKSON (PA-C) – Physician Assistant, NPI 1588360473
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,202 PHYSICIAN ASSISTANT in AL
Provider Addresses for AMBER JACKSON (PA-C)
236 KENSINGTON MANOR DR
CALERA, AL 350405185
Phone:
Type: Mailing
1927 1ST AVE N STE 200
BIRMINGHAM, AL 352034050
Phone: (205) 933-0987
Fax: (205) 930-1758
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 155 Open Payments records for all available years, with a total value of $3,834.
Total Amount is formed as General ($3,834) + Research ($0) + Ownership ($0) = $3,834.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($548).
Total Amount
$3,834
General + Research + Ownership
Payments
155
Total payment records
General Amount
$3,834
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230801000865 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | AL | |
| Physician Assistant | AL | |
| Physician Assistant | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | AL |
Reviews
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