JACKSONS HEALTH FAMILY HEALTH NP
NPI 1194494880
Clinic/Center - Primary Care in Rochester, NY
About Jacksons Health Family Health Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSONS HEALTH FAMILY HEALTH NP (NPI 1194494880) is a healthcare organization registered as a primary care in Rochester, New York and active in the NPI registry since September 2021. The organization holds a CLIA Microscopy certificate valid through March 26, 2027, maintains a secondary practice location in Rochester, and lists Carnel Jackson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 for Provider-Performed Microscopy Procedures (PPMP) 33D2258346
Jackson's Health - Family Health Np PLLC · Rochester, NYOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacksons Health Family Health Np's NPI number?
The NPI number for Jacksons Health Family Health Np is 1194494880. It was assigned to this organization in the NPPES registry on September 7, 2021.
Where is Jacksons Health Family Health Np located?
Jacksons Health Family Health Np is located at 1655 Elmwood Ave Ste 125, Rochester, NY 14620. The listed phone number is (585) 340-6940.
What is Jacksons Health Family Health Np's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Jacksons Health Family Health Np hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2258346) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jacksons Health Family Health Np was last updated on September 8, 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.
# Jacksons Health Family Health Np · NPI 1194494880
Primary Care organization in Rochester, New York. Organization record, active in the CMS NPPES registry since September 7, 2021.
## Identity
- **NPI:** 1194494880 (Entity type: Organization)
- **Enumerated:** September 7, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Carnel Jackson, OWNER
## Practice location
- **Address:** 1655 ELMWOOD AVE STE 125, Rochester, NY 14620-3428
- **Phone:** (585) 340-6940
## Record status
- **NPPES last updated:** September 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194494880) · Data from the CMS NPPES public registry.