JACKSON WOMENS CARE
NPI 1114134814
Obstetrics & Gynecology - Gynecology in Jackson, KY

NPI Status: Active since May 16, 2007

Contact Information

540 JETT DR
JACKSON, KY
ZIP 41339
Phone: (606) 666-6240

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  • Organization
  • Obstetrics & Gynecology
  • Gynecology
  • CLIA Number: 18D2307454
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-08-2026

About JACKSON WOMENS CARE

This page provides the complete NPI Profile along with additional information for Jackson Womens Care, a women's health care provider established in Jackson, Kentucky operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1114134814 assigned on May 2007. The practitioner's primary taxonomy code is 207VG0400X with license number 21623 (KY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Loretta L Campbell (Clinic Coordinator)

NPI
1114134814
Provider Name
JACKSON WOMENS CARE
Entity Type
Organization
Location Address
540 JETT DR JACKSON, KY 41339
Location Phone
(606) 666-6240
Mailing Address
PO BOX 790 JACKSON, KY 41339
Mailing Phone
(606) 666-6240
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2007
Last Update Date
08-22-2020
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Women's health care providers like Jackson Womens Care treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
21623
License State
KY
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORETTA L CAMPBELL

Authorized Official Title
CLINIC COORDINATOR
Authorized Official Phone
(606) 693-0531

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
65926974MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2307454
Facility Type
Physician Office
Certificate Effective Date
July 09, 2024
Certificate Expiration Date
July 08, 2026
Laboratory Director
DR. EVERETT HORN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackson Womens Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for JACKSON WOMENS CARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114134814, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 3 + 8 + 8 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114134814.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Durable Medical Equipment & Medical Supplies
540 JETT DR
JACKSON, KY 41339
Internal Medicine
540 JETT DR
JACKSON, KY 41339
Surgery
540 JETT DR
JACKSON, KY 41339
Physician Assistant
540 JETT DR
JACKSON, KY 41339
General Practice
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Nurse Practitioner (Family)
540 JETT DR
JACKSON, KY 41339
Medicare Defined Swing Bed Unit
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Nurse Practitioner (Family)
540 JETT DR
JACKSON, KY 41339
Radiology (Diagnostic Radiology)
540 JETT DR
JACKSON, KY 41339
General Acute Care Hospital (Critical Access)
540 JETT DR
JACKSON, KY 41339
Nurse Anesthetist, Certified Registered
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
General Acute Care Hospital (Critical Access)
540 JETT DR
JACKSON, KY 41339
Emergency Medicine
540 JETT DR
JACKSON, KY 41339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114134814, enumerated as an "organization" on May 16, 2007.

The provider is located at 540 JETT DR JACKSON, KY 41339 and the phone number is (606) 666-6240.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.