JACKSON HEALTH SERVICES
NPI 1205090354
Clinic/Center in Detroit, MI
About Jackson Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON HEALTH SERVICES (NPI 1205090354) is a healthcare organization registered as a clinic/center in Detroit, Michigan and active in the NPI registry since July 2008. The organization lists Mary L. Jackson-hammond, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Health Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jackson Health Services's NPI number?
The NPI number for Jackson Health Services is 1205090354. It was assigned to this organization in the NPPES registry on July 17, 2008.
Where is Jackson Health Services located?
Jackson Health Services is located at 3800 Woodward Ave Ste. 418, 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 Clinic/Center with taxonomy code 261Q00000X.
Is Jackson Health Services enrolled in Medicare?
Yes. Jackson Health Services is registered in the Medicare PECOS enrollment system.
When is Jackson Health Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jackson Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jackson Health Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jackson Health Services accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Jackson Health Services 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 Jackson Health Services was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Jackson Health Services · NPI 1205090354
Clinic/Center organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since July 17, 2008.
## Identity
- **NPI:** 1205090354 (Entity type: Organization)
- **Enumerated:** July 17, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Mary Jackson-Hammond, MEDICAL DIRECTOR
## Practice location
- **Address:** 3800 WOODWARD AVE, STE. 418, Detroit, MI 48201-2061
- **Phone:** (313) 831-8805 · **Fax:** (313) 832-8206
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2008
- **Other identifiers:** Medicare UPIN B46034 (MI); Medicare PIN 0M81310 (MI); Medicaid 4180604 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1205090354) · Data from the CMS NPPES public registry.