Registry record
- NPI
- 1558665703
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1814 Roseland Blvd, Suite 200
Tyler, TX 75701 - Phone
- 9035926000
- In the registry since
- January 3, 2011
- Last NPPES update
- April 19, 2016
- Sole proprietor
- No
- License
- PA06963 (TX)
At this location
7 other providers in our data list 1814 Roseland Blvd, Tyler as a practice address:
- Jacail Shawuan Bailey, NP
Nurse Practitioner · NPI 1295202604
- Susan Kay Bass-Finck, PA
Physician Assistant · NPI 1124110093
- David Huston, P.A.
Physician Assistant · NPI 1215967823
- Lindsey Nance Koon, FNP-C
Family Nurse Practitioner · NPI 1710349675
- Timothy Edgar Marcyes, P.A.
Physician Assistant · NPI 1568550887
- Janelle A Martinez, APRN
Family Nurse Practitioner · NPI 1477189207
- Mrs. Laura Cameron Roberts, FNP-C, ACNP
Critical Care Medicine Nurse Practitioner · NPI 1942228937
In context
The NPI number of Micah Jackson is 1558665703. They are a Physician Assistant in Tyler, Texas.
Micah Jackson is one of 102 Physician Assistants in Tyler and one of 11,405 across Texas in our data. Tyler ranks #11 among Texas cities in our dataset, with 607 NP and PA providers.
The NPI has been in the federal registry for 15 years, since January 3, 2011.
Frequently asked questions
What is NPI 1558665703?
NPI 1558665703 is the 10-digit National Provider Identifier assigned to Micah Jackson, a Physician Assistant practicing in Tyler, Texas. The record has been in the NPPES registry since January 3, 2011.
How do I verify this provider?
Cross-check NPI 1558665703 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA06963 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as April 19, 2016. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.