ELI NOAH JACKSON PA-C NPI 1316583461

NPI Information

  • NPI: 1316583461
  • Provider Name: ELI NOAH JACKSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 942 HIGHWAY 65 N
    MARSHALL, AR
    ZIP 72650
  • Phone: (888) 518-1418

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NPI Details

Eli Noah Jackson, PA-C is a medical physician assistant in Marshall, AR with 7 years of experience. Eli Noah Jackson, PA-C NPI is 1316583461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

942 HIGHWAY 65 N
MARSHALL, AR
ZIP 72650-772
Phone: (888) 518-1418
Fax: (870) 895-2164

The NPI 1316583461 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of hip, 1 view (HCPCS:73501)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 11/25/2019 and was last updated on 11/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPT2019-050ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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