Individual provider

Autumn Jackson, MHS, PA-C

Medical Physician Assistant Medicare enrolled

Autumn Jackson, MHS, PA-C is a Medical Physician Assistant in Falls Church, VA, registered under NPI 1689629099.

Getting there

The practice address on file is 3300 GALLOWS RD INOVA FAIRFAX ED, Falls Church, VA 22042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3300 GALLOWS RD INOVA FAIRFAX ED, Falls Church, VA 22042 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
C0003077 MD Medical Physician Assistant primary
0110002073 VA Medical Physician Assistant

Licences are recorded in 2 states: MD, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
2961499983
Enrollment ID
I20070113000136

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Maryland and Virginia. The practice address on file is in Falls Church, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MD Maryland
Licence
C0003077
Specialty
Medical Physician Assistant
Verify with the MD board →
VA Virginia practice address
Licence
0110002073
Specialty
Medical Physician Assistant
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical C0003077 MD primary
363AM0700X Medical Physician Assistant Medical 0110002073 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1689629099 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 23, 2006
Last updatedJul 11, 2011
StatusActive
Sole proprietorNo
CredentialMHS, PA-C
Practice address 3300 GALLOWS RD
INOVA FAIRFAX ED
Falls Church, VA 22042
(703) 776-2690
Mailing address 7832 TILGHMAN ST
Fulton, MD 20759
This record was last updated on Jul 11, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1689629099 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 8 9 6 2 9 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 7 9 3 2 9 0 9

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1689629099?
NPI 1689629099 is the National Provider Identifier assigned to Autumn Jackson, MHS, PA-C in Falls Church, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Autumn Jackson, MHS, PA-C?
The phone number on file with NPPES is (703) 776-2690, last updated Jul 11, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Autumn Jackson, MHS, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1689629099 a valid number?
Yes. 1689629099 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.