Micah Roy Jackson, PA
Physician Assistant · Tyler, TX
Micah Roy Jackson, PA is a physician assistant with a practice address in Tyler, Texas, and NPI 1558665703, issued on Jan 3, 2011. Check the license (Texas PA06963, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Micah Roy Jackson
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA06963 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1814 Roseland Blvd, Tyler, TX 75701
- Phone
- (903) 592-6000
- Enumerated
- Jan 3, 2011
- Record last updated
- Apr 19, 2016 (not updated in 10 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,999 in Texas → Look up another NPI →
Also registered at 1814 Roseland Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Micah Roy Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA06963Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $22.15
1 payment: food and beverage; the largest payer was Abbvie Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Micah Roy Jackson among 10,999 physician assistant records in Texas
Micah Roy Jackson, PA is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 30% of them.
- NPI issued2011 · 30% of these records are older, 67% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileNo · 55% of these records are
- Record last updated2016 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
98 physician assistant records list a practice address in Tyler
They are 98 of the 5,531 NPPES records with a practice address in Tyler, and 10,999 physician assistant records in Texas.
All 10,999 in Texas → Every provider in Tyler → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- June Belt, NPTyler, TX 757011497708960
- Rachel Bizot, PATyler, TX 757011154302719
- Stephanie Carter, PA-CTyler, TX 757011376535054
- Wesley Castle, P.A.-CTyler, TX 757011114971058
- Lindy Dolan, PA-CTyler, TX 757011124010129
- Maynard Gonter, PA-CTyler, TX 757011396737391
- Matthew Hand, PACTyler, TX 757011992797799
- Jason Layne, PA-CTyler, TX 757011578555355
Common questions
What is Micah Roy Jackson, PA's NPI number?
Micah Roy Jackson, PA's National Provider Identifier (NPI) is 1558665703, issued on Jan 3, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Micah Roy Jackson, PA located?
The NPPES record lists a practice address at 1814 Roseland Blvd, Tyler, TX, 75701. Phone: (903) 592-6000. Providers update this record themselves, so call before visiting.
How can I verify Micah Roy Jackson, PA's license?
NPPES lists Texas license number PA06963, as entered by the provider. Search the Texas 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.