MRS. ELIZABETH ANNE JACKSON (PA-C) – Physician Assistant, NPI 1497065627
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for MRS. ELIZABETH ANNE JACKSON (PA-C)
1301 SIGMAN RD NE
STE 100
CONYERS, GA 300123812
Phone: (770) 760-9360
Fax: (770) 760-9303
Type: Mailing
1906 BLAKE AVE
GLENWOOD SPGS, CO 816014227
Phone: (970) 928-0808
Fax: (970) 945-5738
Type: Location
1906 Blake Ave
Glenwood Spgs, CO 816014227
Phone: (970) 928-0808
Fax: (970) 945-5738
Type: Location
1830 BLAKE AVE
GLENWOOD SPRINGS, CO 816014275
Phone: (970) 945-8503
Fax: (970) 945-0253
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $829.
Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($199).
Total Amount
$829
General + Research + Ownership
Payments
43
Total payment records
General Amount
$829
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $199 |
| Exact Sciences Corporation | $118 |
| AstraZeneca Pharmaceuticals LP | $104 |
| Amgen Inc. | $86 |
| PFIZER INC. | $67 |
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: 2015-03-10
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 |
|---|---|---|---|---|
| I20150310000353 | I | Physician Assistant | CO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 217 | 140 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 137 | 101 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 105 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 56 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 93 | 79 | $0 |
Insurance plans in this area (ZIP 30012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Family Practice | CO | |
| Physician Assistant | CO | |
| Physical Therapist In Private Practice | CO | |
| - | CO | |
| Family Practice | OR | |
| - | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Physical Therapist In Private Practice | CO | |
| - | - |
Reviews
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