JACKSON MEDICAL CLINIC FAMILY HEALTH CARE
NPI 1609378132
Clinic/Center - Rural Health in Jackson, KY

Active since February 28, 2018CLIA 18D2168359 · Waiver
1550 HIGHWAY 15 S STE 240, JACKSON, KY 41339(606) 568-1184(606) 824-5042 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2022, May 18, 2021, Oct 18, 2019 and 1 more (4 updates tracked since 2018).

About Jackson Medical Clinic Family Health Care NPPES

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

JACKSON MEDICAL CLINIC FAMILY HEALTH CARE (NPI 1609378132) is a healthcare organization registered as a rural health in Jackson, Kentucky and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Jessica Ann Neace, Aprn, as its authorized official.

NPPES Registry Identity

NPI1609378132
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOUNTY LINE PRIMARY CARE
Location Address1550 HIGHWAY 15 S STE 240Jackson, KY 41339-0709
Mailing Address41 John Maco DrJackson, KY 41339-6515 · (606) 568-1184
Fax(606) 824-5042
Organization SubpartNo
Authorized OfficialJessica Ann NeaceAprn · (606) 824-5037
Enumeration DateFebruary 28, 2018
Last NPPES UpdateFebruary 24, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1609378132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1550 HIGHWAY 15 S STE 240, Jackson, KY 41339

Other Names 1

Doing Business AsJackson Medical Clinic Family Health Care

Accepted Insurance

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 18D2168359

County Line Primary Care LLC Dba Jackson Medical Clinic Family Health · Jackson, KY
Active · expires Jun 26, 2027
CLIA Number18D2168359
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMs. Jessica A. Neace
Laboratory Phone(606) 824-5037
Laboratory LocationCounty Line Primary Care LLC Dba Jackson Medical Clinic Family Health1550 Hwy 15 S Suite 240, Jackson, KY 41339
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Nurse Practitioner (Family)
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Nurse Practitioner (Primary Care)
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339
Registered Nurse
1550 HIGHWAY 15 S STE 240
JACKSON, KY 41339

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 County Line Primary Care's NPI number?

The NPI number for County Line Primary Care is 1609378132. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Jackson Medical Clinic Family Health Care.

Where is County Line Primary Care located?

County Line Primary Care is located at 1550 Highway 15 S Ste 240, Jackson, KY 41339. The listed phone number is (606) 568-1184.

What is County Line Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does County Line Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2168359) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does County Line Primary Care accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list County Line Primary Care 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 County Line Primary Care was last updated on February 24, 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.