Chaka Jackson
Certified Registered Nurse Anesthetist · Hattiesburg, MS
Chaka Jackson is a certified registered nurse anesthetist with a practice address in Hattiesburg, Mississippi, and NPI 1922683580, issued on Mar 16, 2021. Check the license (Mississippi 901694, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Chaka Jackson
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 901694 MS
Self-reported in NPPES; status is on the state search - Practice location
- 415 S 28TH Ave, Hattiesburg, MS 39401
- Phone
- (601) 261-3606
- Enumerated
- Mar 16, 2021
- Record last updated
- Sep 13, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (601) 579-5240
- Medicaid ID
- 02957796 MS
- Medicare enrollment
- Enrolled (PECOS I20210420001874); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 840 in Mississippi → Look up another NPI →
Also registered at 415 S 28TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ralph Abraham, MDSurgery Physician1013931674
- Logan AbramsPerfusionist1346803061
- William Adcock, AGACNPCritical Care Medicine Nurse Practitioner1225894264
- Mansoor Ahmad, MDHospitalist Physician1154096758
- Mohammed Ahmed, MDHospitalist Physician1942224514
- Muthanna Al-Ghuraibawi, M.D.Hospitalist Physician1811622665
Verify Chaka Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 901694Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Hattiesburg Clinic PAHattiesburg, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Chaka Jackson among 840 certified registered nurse anesthetist records in Mississippi
Chaka Jackson is one of 840 certified registered nurse anesthetist records with a practice address in Mississippi. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 83% of them.
- NPI issued2021 · 83% of these records are older, 13% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2020 · median 2011 among the 669 with a school on file
- Record last updated2021 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
100 certified registered nurse anesthetist records list a practice address in Hattiesburg
They are 100 of the 2,569 NPPES records with a practice address in Hattiesburg, and 840 certified registered nurse anesthetist records in Mississippi.
All 840 in Mississippi → Every provider in Hattiesburg → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Rodney Brown, CRNAHattiesburg, MS 394011316969645
- Grover Cruise, CRNAHattiesburg, MS 394011720043219
- Melissa Duncan, CRNAHattiesburg, MS 394011669494993
- Robert Gaston, CRNAHattiesburg, MS 394011639190440
- Matthew Gerald, CRNAHattiesburg, MS 394011891717138
- Monty Ladner, CRNAHattiesburg, MS 394011730144130
- Tressy Lauga, CRNAHattiesburg, MS 394011285656397
- Timothy Lewis, CRNAHattiesburg, MS 394011881631828
Common questions
What is Chaka Jackson's NPI number?
Chaka Jackson's National Provider Identifier (NPI) is 1922683580, issued on Mar 16, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Chaka Jackson located?
The NPPES record lists a practice address at 415 S 28TH Ave, Hattiesburg, MS, 39401. Phone: (601) 261-3606. Providers update this record themselves, so call before visiting.
How can I verify Chaka Jackson's license?
NPPES lists Mississippi license number 901694, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.