1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Family Medicine
  6. NPI Profile

JACKSON HEALTH SERVICES
NPI 1093134348
Family Medicine in Detroit, MI

Active since April 15, 2014
4727 SAINT ANTOINE ST, STE 202, DETROIT, MI 48201(313) 831-8805(313) 832-8206 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson Health Services NPPES

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

JACKSON HEALTH SERVICES (NPI 1093134348) is a healthcare organization registered as a family medicine in Detroit, Michigan and active in the NPI registry since April 2014. The organization lists Mary Jackson-hammond, President, as its authorized official.

NPPES Registry Identity

NPI1093134348
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HEALTH SERVICES
Location Address4727 SAINT ANTOINE ST, STE 202Detroit, MI 48201-1461
Mailing Address4727 Saint Antoine St, Ste 202Detroit, MI 48201-1461 · (313) 831-8805 · Fax (313) 832-8206
Phone(313) 831-8805
Fax(313) 832-8206
Organization SubpartNo
Authorized OfficialMary Jackson-hammondPresident · (313) 831-8805
Enumeration DateApril 15, 2014
✔ NPI 1093134348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301046737
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4727 SAINT ANTOINE ST, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 2

Medicaid4180604MI
Medicare UPINM12315

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JEFFREY GILLUM MD
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 210
DETROIT, MI 48201
Wayne County (313) 831-3066
BRENT WINSTON GILLUM D.O.
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 210
DETROIT, MI 48201
Wayne County (313) 831-3066
DIANE A VISTA-DECK MD
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
SAMUEL GENE MCNEELEY MD
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
BRENT W GILLUM D O PLC
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 210
DETROIT, MI 48201
Wayne County (313) 831-3066
DAVID CHESTER KMAK MD
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
SUSAN LYNN HENDRIX DO
Obstetrics & Gynecology
4727 SAINT ANTOINE ST, SUITE 304
DETROIT, MI 48201
Wayne County (313) 745-0499
DR. LINDA MARIE GREEN D.O.
Internal Medicine
4727 SAINT ANTOINE ST, SUITE 211
DETROIT, MI 48201
Wayne County (313) 833-5032

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 Health Services's NPI number?

The NPI number for Jackson Health Services is 1093134348. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Jackson Health Services located?

Jackson Health Services is located at 4727 Saint Antoine St Ste 202, Detroit, MI 48201. The listed phone number is (313) 831-8805.

What is Jackson Health Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jackson Health Services was last updated on April 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.