LYDIA LANE JACKSON (PA C) – Physician Assistant, NPI 1487642161

LYDIA LANE JACKSON (PA C) is a healthcare provider. based in Montgomery, Alabama. specializing in Physician Assistant. They hold the professional credentials PA C. They hold a License No. PA198 (AL). The NPI Number for LYDIA LANE JACKSON (PA C) is 1487642161

Main info

Female
Name
LYDIA LANE JACKSON (PA C)
NPI
1487642161
Phone
(334) 213-6441
Address
7028 CROSS BEND CT
Enumeration Date
7 October 2005
Last Update Date
13 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LYDIA LANE JACKSON (PA C)

  • 7028, Cross Bend Court, Bellwood Plantation, Montgomery, Montgomery County, Alabama, 36117, United States

    MONTGOMERY, AL 361172445

    Phone: (334) 213-6441

    Type: Mailing

  • 215, Perry Hill Road, Sherwood, Montgomery, Montgomery County, Alabama, 36109, United States

    MONTGOMERY, AL 361093725

    Phone: (334) 272-4670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $719.

Total Amount is formed as General ($719) + Research ($0) + Ownership ($0) = $719.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($209).

Total Amount

$719

General + Research + Ownership

Payments

8

Total payment records

General Amount

$719

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

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 36117)

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Reviews

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Frequently asked questions

Where can patients find LYDIA LANE JACKSON (PA C)'s NPI?
You can confirm LYDIA LANE JACKSON (PA C) with NPI 1487642161; it appears in the national provider directory.
Is LYDIA LANE JACKSON (PA C)'s NPI currently valid?
The extract we use shows LYDIA LANE JACKSON (PA C) as active.
Does LYDIA LANE JACKSON (PA C) list a primary specialty?
If you are matching referrals, note Physician Assistant for LYDIA LANE JACKSON (PA C). Clinical services aligned with this taxonomy classification.
Does LYDIA LANE JACKSON (PA C) practice in Alabama?
You will see Montgomery, Alabama on file for LYDIA LANE JACKSON (PA C) alongside any extra practice locations.
How can I contact LYDIA LANE JACKSON (PA C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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