CHADWICK THOMAS JACKSON DC
NPI 1407354509
Chiropractor in Shelby Twp, MI
About Chadwick Thomas Jackson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHADWICK THOMAS JACKSON DC (NPI 1407354509) is an individual chiropractor in Shelby Twp, Michigan, licensed in Michigan (2301011110) and active in the NPI registry since January 2018.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chadwick Thomas Jackson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chadwick Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shelby Twp, MI 48315
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
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 Chadwick Jackson's NPI number?
The NPI number for Chadwick Jackson is 1407354509. It was assigned to this individual provider in the NPPES registry on January 24, 2018.
Where is Chadwick Jackson located?
Chadwick Jackson practices at 45637 Hayes Rd, Shelby Twp, MI 48315. The listed phone number is (586) 991-6471.
What is Chadwick Jackson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Chadwick Jackson enrolled in Medicare?
Yes. Chadwick Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chadwick Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chadwick Jackson reassigns Medicare benefits to Legacy Partners PC (Shelby Twp, 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 Chadwick Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chadwick Jackson accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Chadwick 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 Chadwick Jackson was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Chadwick Thomas Jackson, DC · NPI 1407354509
Chiropractor provider in Shelby Twp, Michigan. Individual provider, active in the CMS NPPES registry since January 24, 2018.
## Identity
- **NPI:** 1407354509 (Entity type: Individual)
- **Enumerated:** January 24, 2018
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2301011110 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 45637 HAYES RD, Shelby Twp, MI 48315-6214
- **Phone:** (586) 991-6471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Legacy Partners PC (NPI 1710807268, Shelby Twp, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2026
- **Other identifiers:** Other 2301011110 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1407354509) · Data from the CMS NPPES public registry.