FAITH FAMILY HEALTHCARE CLINIC
NPI 1205336187
Family Medicine in Edmond, OK

Active since February 16, 2018
740 SIGNAL RIDGE DR, EDMOND, OK 73013(405) 418-0125(405) 216-3454 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Faith Family Healthcare Clinic NPPES

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

FAITH FAMILY HEALTHCARE CLINIC (NPI 1205336187) is a healthcare organization registered as a family medicine in Edmond, Oklahoma and active in the NPI registry since February 2018. The organization lists Tina White, Owner, as its authorized official.

NPPES Registry Identity

NPI1205336187
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINGRID W. JACKSON, M.D., LLC
Location Address740 SIGNAL RIDGE DREdmond, OK 73013-3675
Mailing Address740 Signal Ridge DrEdmond, OK 73013-3675 · (405) 418-0125 · Fax (405) 216-3454
Fax(405) 216-3454
Organization SubpartNo
Authorized OfficialTina WhiteOwner · (405) 418-0125
Enumeration DateFebruary 16, 2018
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
NPI 1205336187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 15786
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
740 SIGNAL RIDGE DR, Edmond, OK 73013

Other Names 1

Doing Business AsFaith Family Healthcare Clinic

Other Identifiers 1

Medicaid100220060OK

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Family Medicine
740 SIGNAL RIDGE DR
EDMOND, OK 73013

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 Ingrid W. Jackson, M.D., LLC's NPI number?

The NPI number for Ingrid W. Jackson, M.D., LLC is 1205336187. It was assigned to this organization in the NPPES registry on February 16, 2018. The provider is doing business as Faith Family Healthcare Clinic.

Where is Ingrid W. Jackson, M.D., LLC located?

Ingrid W. Jackson, M.D., LLC is located at 740 Signal Ridge Dr, Edmond, OK 73013. The listed phone number is (405) 418-0125.

What is Ingrid W. Jackson, M.D., LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Ingrid W. Jackson, M.D., LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Ingrid W. Jackson, M.D., LLC 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 Ingrid W. Jackson, M.D., LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.