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JANDYCO, LLC
NPI 1346586088
Family Medicine - Addiction Medicine in Pueblo, CO

Active since December 28, 2012CLIA 06D2068590 · Waiver
509 COLORADO AVE STE C, PUEBLO, CO 81004(719) 696-9828(719) 696-9862 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017 (2 updates tracked since 2017).

About Jandyco, Llc NPPES

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

JANDYCO, LLC (NPI 1346586088) is a healthcare organization registered as an addiction medicine in Pueblo, Colorado and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Jamie M Pollock, Owner/ Physician, as its authorized official.

NPPES Registry Identity

NPI1346586088
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameJANDYCO, LLC
Location Address509 COLORADO AVE STE CPueblo, CO 81004-2008
Mailing Address509 Colorado Ave Ste CPueblo, CO 81004-2008 · (719) 214-2005 · Fax (719) 696-9862
Phone(719) 696-9828
Fax(719) 696-9862
Organization SubpartNo
Authorized OfficialJamie M PollockOwner/ Physician · (719) 214-2005
Enumeration DateDecember 28, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1346586088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CO · 44011
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 44011 (CO)
509 COLORADO AVE STE C, Pueblo, CO 81004
Open in Google Maps ↗

Other Identifiers 1

Medicaid29732581CO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jandyco, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jandyco, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jamie Pollock, M.D.
Family Practice
NPI 1356470876
509 COLORADO AVE STE C
Pueblo, CO 81004
(719) 696-9828
✔ PECOS✔ Accepts MedicareSame address

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

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 06D2068590

Jandyco, LLC · Pueblo, CO
Active · expires Nov 6, 2027
CLIA Number06D2068590
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDr. Jamie M. Pollock
Laboratory Phone(719) 696-9828
Laboratory LocationJandyco, LLC509 Colorado Ave Suite C, Pueblo, CO 81004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jandyco, LLC's NPI number?

The NPI number for Jandyco, LLC is 1346586088. It was assigned to this organization in the NPPES registry on December 28, 2012.

Where is Jandyco, LLC located?

Jandyco, LLC is located at 509 Colorado Ave Ste C, Pueblo, CO 81004. The listed phone number is (719) 696-9828.

What is Jandyco, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Jandyco, LLC enrolled in Medicare?

Yes. Jandyco, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jandyco, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jandyco, LLC. 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.

Does Jandyco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2068590) is associated with this NPI, valid through November 6, 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 Jandyco, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.