Randall Jackson is a Mccomb, Mississippi based nurse practitioner with 10 years of experience in Family. He completed his graduation in 2015. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Randall Jackson is 878547 for Acute Care in Mississippi. His current practice location is 215 Marion Ave, Mccomb. Patients can reach him at 601-249-5500 or can fax him at 601-249-1173. Randall Jackson is CFNP with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1144614165. Randall Jackson delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Randall Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628396736
Enrollment ID:
I20150421000238
NPI Number:
1144614165
NPI Enumeration Date:
27 Mar, 2015
NPI Last Update On:
02 May, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Jackson are as mentioned below.
License Number
Specialization
State
Status
878547
Acute Care
Mississippi
Primary
R878547
Family
Mississippi
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(250097)
Mccomb, MS
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Randall Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southwest Mississippi Regional Medical Center (5193633907)
63
Other Medical Identifiers:
Other legacy medical identifiers associated with Randall Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
05435530
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Randall Jackson Po Box 490, Mccomb, Mississippi
Zip:
39649-0490
Phone Number:
601-249-2701
Fax Number:
601-249-2195
Patients can reach Randall Jackson at 215 Marion Ave, Mccomb, Mississippi or can call to book an appointment on 601-249-5500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.