TEEN CENTER AT PARKSIDE
NPI 1497825939
Clinic/Center - Federally Qualified Health Center (FQHC) in Jackson, MI
About Teen Center At Parkside NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEEN CENTER AT PARKSIDE (NPI 1497825939) is a healthcare organization registered as a federally qualified health center (fqhc) in Jackson, Michigan and active in the NPI registry since November 2006. The organization lists Michelle Mayo, Patient Accounts.manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 2
Group Practice 1
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)
Teen Center At Parkside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Teen Center At Parkside, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 50Source: 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 Center For Family Health's NPI number?
The NPI number for Center For Family Health is 1497825939. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Teen Center At Parkside.
Where is Center For Family Health located?
Center For Family Health is located at 2400 4th St, Jackson, MI 49203. The listed phone number is (517) 788-6812.
What is Center For Family Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Center For Family Health enrolled in Medicare?
Yes. Center For Family Health is registered in the Medicare PECOS enrollment system.
When is Center For Family Health'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 December 31, 2026. 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 Center For Family Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 10 Medicare specialties reassign their Medicare billing to Center For Family Health. 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. The largest specialties are Family Practice (11), Dentist (10) and Nurse Practitioner (8). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Center For Family Health accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Center For Family Health 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 Center For Family Health was last updated on February 10, 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.
# Teen Center At Parkside · NPI 1497825939
Federally Qualified Health Center (FQHC) organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1497825939 (Entity type: Organization)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Center For Family Health
- **Organization subpart:** No
- **Authorized official:** Michelle Mayo, PATIENT ACCOUNTS.MANAGER
## Practice location
- **Address:** 2400 4TH ST, Jackson, MI 49203-4573
- **Phone:** (517) 788-6812 · **Fax:** (517) 788-7722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 50 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (11), Dentist (10), Nurse Practitioner (8); 35 practice within 10 miles; [full list](https://npiprofile.com/npi/1497825939/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2022
- **Other identifiers:** Other 700C810070 (MI); Other 500C807070 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1497825939) · Data from the CMS NPPES public registry.