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DR. JARED KENTON JACKSON DC
NPI 1184447005
Chiropractor in Grand Rapids, MI

Active since November 07, 2024
1593 GALBRAITH AVE SE STE 205, GRAND RAPIDS, MI 49546(616) 949-1888 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jared Kenton Jackson Dc NPPES

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

DR. JARED KENTON JACKSON DC (NPI 1184447005) is an individual chiropractor in Grand Rapids, Michigan, licensed in Michigan (2301401582) and active in the NPI registry since November 2024. He maintains a secondary practice location in Middleville and is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1184447005
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JARED KENTON JACKSONCredential: DC
Location Address1593 GALBRAITH AVE SE STE 205Grand Rapids, MI 49546-9032
Mailing Address7385 30th St SeAda, MI 49301-8570 · (231) 640-4010
Phone(616) 949-1888
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1184447005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301401582
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1593 GALBRAITH AVE SE STE 205, Grand Rapids, MI 49546
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Secondary Practice Location 1

Location 1218 W Main StMiddleville, MI 49333-8954 · Phone (269) 795-7145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared Kenton Jackson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688148265
PECOS Enrollment IDI20260706001013

Medicare Billing Reassignment

Medicare enrollment records show Jared Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tilton Chiropractic PC
Same address
Chiropractor
1593 GALBRAITH SE, SUITE 205
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1053626499 (616) 949-1888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jared Jackson's NPI number?

The NPI number for Jared Jackson is 1184447005. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Jared Jackson located?

Jared Jackson practices at 1593 Galbraith Ave SE Ste 205, Grand Rapids, MI 49546. The listed phone number is (616) 949-1888.

What is Jared Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jared Jackson enrolled in Medicare?

Yes. Jared Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Jackson reassigns Medicare benefits to Tilton Chiropractic PC (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Jackson accept?

Health plans from Priority Health and Providence Health Plan list Jared Jackson 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 Jared Jackson was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.