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JACKSON FAMILY MEDICAL PLLC
NPI 1013167444
Family Medicine - Geriatric Medicine in Jackson, MI

Active since September 22, 2008CLIA 23D1003608 · Waiver
724 W FRANKLIN ST, JACKSON, MI 49201(517) 784-3100(517) 784-3200 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Family Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON FAMILY MEDICAL PLLC (NPI 1013167444) is a healthcare organization registered as a geriatric medicine in Jackson, Michigan and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Gary Laverne Lynd, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1013167444
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameJACKSON FAMILY MEDICAL PLLC
Location Address724 W FRANKLIN STJackson, MI 49201-2008
Mailing Address724 W Franklin StJackson, MI 49201-2008 · (517) 784-3100 · Fax (517) 784-3200
Phone(517) 784-3100
Fax(517) 784-3200
Organization SubpartNo
Authorized OfficialGary Laverne LyndOwner/physician · (517) 784-3100
Enumeration DateSeptember 22, 2008
Last NPPES UpdateJuly 19, 2012
✔ NPI 1013167444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
724 W FRANKLIN ST, Jackson, MI 49201
Open in Google Maps ↗

Other Identifiers 1

Medicare PINMI5409MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1003608

Jackson Family Medical · Jackson, MI
Active · expires Nov 19, 2027
CLIA Number23D1003608
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorGary L. Lynd
Laboratory Phone(517) 784-3100
Laboratory LocationJackson Family Medical724 W Franklin Street, Jackson, MI 49201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GARY L LYND DO
Family Medicine
724 W FRANKLIN ST
JACKSON, MI 49201
Jackson County (517) 784-3100
MR. KEVIN SCOTT BOHLEN PA-C
Physician Assistant (Medical)
724 W FRANKLIN ST
JACKSON, MI 49201
Jackson County (517) 784-3100
JACKSON FAMILY MEDICAL
General Practice
724 W FRANKLIN ST
JACKSON, MI 49201
Jackson County (517) 784-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Family Medical PLLC's NPI number?

The NPI number for Jackson Family Medical PLLC is 1013167444. It was assigned to this organization in the NPPES registry on September 22, 2008.

Where is Jackson Family Medical PLLC located?

Jackson Family Medical PLLC is located at 724 W Franklin St, Jackson, MI 49201. The listed phone number is (517) 784-3100.

What is Jackson Family Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Jackson Family Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1003608) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Family Medical PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jackson Family Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Family Medical PLLC was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.