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

Active since May 16, 2007
540 JETT DR, JACKSON, KY 41339(606) 666-6240 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Womens Care NPPES

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

JACKSON WOMENS CARE (NPI 1114134814) is a healthcare organization registered as a gynecology in Jackson, Kentucky and active in the NPI registry since May 2007. The organization lists Loretta L Campbell, Clinic Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114134814
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameJACKSON WOMENS CARE
Location Address540 JETT DRJackson, KY 41339-9622
Mailing AddressPo Box 790Jackson, KY 41339-0790 · (606) 666-6240
Phone(606) 666-6240
Organization SubpartNo
Authorized OfficialLoretta L CampbellClinic Coordinator · (606) 693-0531
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114134814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in KY · 21623
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

540 JETT DR, Jackson, KY 41339
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Other Identifiers 1

Medicaid65926974KY

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

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 18D2307454

Jackson Womens Care · Jackson, KY
Expired · Jul 8, 2026
CLIA Number18D2307454
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorDr. Everett Horn
Laboratory Phone(606) 666-6240
Laboratory LocationJackson Womens Care424 Jett Drive, Jackson, KY 41339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

BRITTNEY DENISE HERALD FNP
Nurse Practitioner (Family)
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000
JACKSON PHYSICIAN CORP
Durable Medical Equipment & Medical Supplies
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6300
DR. AARON WILLIAM JOHNSON D.O.
Internal Medicine
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6479
SOUND PHYSICIANS ANESTHESIOLOGY OF KENTUCKY PSC
Nurse Anesthetist, Certified Registered
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000
KENTUCKY RIVER HBP LLC
Radiology (Diagnostic Radiology)
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6479
ADVANCED SURGICAL SPECIALISTS OF KY, PLLC
Surgery
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-7777
WHITAKER NATIONAL CORPORATION
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000
DR. SHERIF MALEK D.O.
Emergency Medicine
540 JETT DR
JACKSON, KY 41339
Breathitt County (606) 666-6000

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 Womens Care's NPI number?

The NPI number for Jackson Womens Care is 1114134814. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Jackson Womens Care located?

Jackson Womens Care is located at 540 Jett Dr, Jackson, KY 41339. The listed phone number is (606) 666-6240.

What is Jackson Womens Care's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Jackson Womens Care was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.