Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kodi Long Jackson, PA

Physician Assistant in Jackson, MS · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588373716

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Registry record

Entity type Individual (Type 1)

Name Kodi Long Jackson

Credential PA

Sex Female

Practice address 969 Lakeland Dr, Jackson, MS, 39216

Phone (601) 200-3631

Fax (601) 200-0159

Enumeration date Nov 16, 2022

Last updated in NPPES Nov 3, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Kodi Jackson?

Kodi Jackson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Bobby Graham Hospice and Palliative Medicine (Internal Medicine) Physician · Jackson, MS NPI 1205831666 Jpa Pathology, P.A. Anatomic Pathology & Clinical Pathology Physician · Jackson, MS NPI 1104824309 Eric Mcvey Infectious Disease Physician · Jackson, MS NPI 1467433995 Andrew Smyth Diagnostic Radiology Physician · Jackson, MS NPI 1982689816 John Hancock Anatomic Pathology & Clinical Pathology Physician · Jackson, MS NPI 1720067994 Diana Stulc Family Medicine Physician · Jackson, MS NPI 1225002165 John Payne Internal Medicine Physician · Jackson, MS NPI 1760451991 Regency Hospital of Jackson, LLC Long Term Care Hospital · Jackson, MS NPI 1851357925

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-03.