JACKSON FAMILY PRACTICE LLC
NPI 1467819920
Family Medicine in Jackson, OH

Q: What is Jackson Family Practice LLC's NPI number?

The NPI number for Jackson Family Practice LLC is 1467819920. It was assigned to this organization in the NPPES registry on January 28, 2016.

Q: What is Jackson Family Practice LLC's specialty?

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

Active since January 28, 2016

500 BURLINGTON RD, SUITE 260, JACKSON, OH 45640(740) 577-9181(740) 577-9214 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2016, Feb 4, 2016, Jan 28, 2016 (3 updates tracked since 2016).

On this page

About Jackson Family Practice Llc NPPES

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

JACKSON FAMILY PRACTICE LLC (NPI 1467819920) is a healthcare organization registered as a family medicine in Jackson, Ohio and active in the NPI registry since January 2016. The organization lists Maryann Hartwick, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1467819920

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJACKSON FAMILY PRACTICE LLC

Location Address500 BURLINGTON RD, SUITE 260Jackson, OH 45640-9360

Mailing AddressPo Box 190Jackson, OH 45640-0190 · (740) 577-9181 · Fax (740) 577-9214

Phone(740) 577-9181

Fax(740) 577-9214

Organization SubpartNo

Authorized OfficialMaryann HartwickPractice Manager · (740) 577-9181

Enumeration DateJanuary 28, 2016

Last NPPES UpdateMarch 24, 20163 updates tracked since enumeration

✔ NPI 1467819920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

500 BURLINGTON RD, Jackson, OH 45640

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Other Identifiers 1

Medicare PINH422750

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

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Family Practice 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 Jackson Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Russell Hartwick, DO

Family Practice

NPI 1235116583

500 BURLINGTON RD STE 260
Jackson, OH 45640

(740) 577-9181

✔ PECOS0.1 mi

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 Family Practice LLC's NPI number?

The NPI number for Jackson Family Practice LLC is 1467819920. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Jackson Family Practice LLC located?

Jackson Family Practice LLC is located at 500 Burlington Rd Suite 260, Jackson, OH 45640. The listed phone number is (740) 577-9181.

What is Jackson Family Practice LLC's specialty?

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

Is Jackson Family Practice LLC enrolled in Medicare?

Yes. Jackson Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Family Practice LLC?

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

What insurance does Jackson Family Practice LLC accept?

Health plans from CareSource list Jackson Family Practice 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 Jackson Family Practice LLC was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.