MORGAN JACKSON (PA-C) – Physician Assistant, NPI 1073075453

MORGAN JACKSON (PA-C) is a healthcare provider. based in Mc lean, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110007501 (VA). The NPI Number for MORGAN JACKSON (PA-C) is 1073075453

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MORGAN JACKSON (PA-C)
NPI
1073075453
Phone
(703) 738-4342
Address
1420 SPRING HILL RD STE 210
Enumeration Date
3 April 2019
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3779997986
Group Practice PAC ID
4688999345
Professional Enrollment ID
I20231004002109
Address ID
FL329408096ME7960XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MORGAN JACKSON (PA-C)

  • 1420 SPRING HILL RD STE 210

    MC LEAN, VA 221023039

    Phone: (703) 738-4342

    Type: Location

  • 695 CONE PARK CT

    MERRITT ISLAND, FL 329523755

    Phone: (321) 453-3360

    Type: Location

  • 2166, Chinook Trail, Dommerich Hills, Maitland, Orange County, Florida, 32751, United States

    MAITLAND, FL 327513927

    Phone: (407) 325-4932

    Type: Mailing

  • 11350 MCCORMICK RD

    EXECUTIVE PLAZA 1, STE. 501

    HUNT VALLEY, MD 21031

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,521.

Total Amount is formed as General ($1,521) + Research ($0) + Ownership ($0) = $1,521.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($300).

Total Amount

$1,521

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210129001651IPhysician AssistantVATBD
I20210201000423IPhysician AssistantDCTBD
I20231004002109IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,204213$0
99213Established patient office or other outpatient visit, 20-29 minutes533459$0
17000Destruction of precancer skin growth, 1 growth333298$0
11102Biopsy of related skin growth, first growth217206$0
17110Destruction of skin growth, 1-14 growths131125$0
View full utilization report →

Insurance plans in this area (ZIP 22102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688999345View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
D E R M A T O L O G YFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
D E R M A T O L O G YFL
-FL

Reviews

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Frequently asked questions

What is MORGAN JACKSON (PA-C)'s NPI number?
MORGAN JACKSON (PA-C)'s NPI is 1073075453 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MORGAN JACKSON (PA-C)?
For scheduling context, MORGAN JACKSON (PA-C) is shown as active in the registry.
How would a patient describe MORGAN JACKSON (PA-C)'s focus?
For MORGAN JACKSON (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MORGAN JACKSON (PA-C) associated with Mc Lean?
Public fields place MORGAN JACKSON (PA-C) around Mc Lean, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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