NORTH JACKSON PRIMARY CARE
NPI 1679654339
Family Medicine in Stevenson, AL
About North Jackson Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH JACKSON PRIMARY CARE (NPI 1679654339) is a healthcare organization registered as a family medicine in Stevenson, Alabama and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2028 and lists Ronald Calhoun, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Jackson Primary Care 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 North Jackson Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 01D1057825
North Jackson Primary Care · Stevenson, ALFrequently 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 North Jackson Primary Care's NPI number?
The NPI number for North Jackson Primary Care is 1679654339. It was assigned to this organization in the NPPES registry on October 18, 2006.
Where is North Jackson Primary Care located?
North Jackson Primary Care is located at 42319 Us Highway 72, Stevenson, AL 35772. The listed phone number is (256) 437-2223.
What is North Jackson Primary Care's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is North Jackson Primary Care enrolled in Medicare?
Yes. North Jackson Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Jackson Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to North Jackson Primary Care. 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 North Jackson Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D1057825) is associated with this NPI, valid through August 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Jackson Primary Care was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# North Jackson Primary Care · NPI 1679654339
Family Medicine organization in Stevenson, Alabama. Organization record, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1679654339 (Entity type: Organization)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ronald Calhoun, OWNER
## Practice location
- **Address:** 42319 US HIGHWAY 72, Stevenson, AL 35772-5418
- **Phone:** (256) 437-2223 · **Fax:** (256) 437-2225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2013
- **Other identifiers:** Medicare UPIN I41564 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679654339) · Data from the CMS NPPES public registry.