JACKSON HEALTH AND WELLNESS CLINIC, LLC
NPI 1730534090
Clinic/Center - Primary Care in Glasgow, KY
About Jackson Health And Wellness Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON HEALTH AND WELLNESS CLINIC, LLC (NPI 1730534090) is a healthcare organization registered as a primary care in Glasgow, Kentucky and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Britney Jackson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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 Health And Wellness Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Jackson Health And Wellness Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 18D2114071
Jackson Health And Wellness Clinic, LLC · Glasgow, KYFrequently 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 Health And Wellness Clinic, LLC's NPI number?
The NPI number for Jackson Health And Wellness Clinic, LLC is 1730534090. It was assigned to this organization in the NPPES registry on April 24, 2016.
Where is Jackson Health And Wellness Clinic, LLC located?
Jackson Health And Wellness Clinic, LLC is located at 102 Physicians Blvd Ste B, Glasgow, KY 42141. The listed phone number is (270) 629-6722.
What is Jackson Health And Wellness Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jackson Health And Wellness Clinic, LLC enrolled in Medicare?
Yes. Jackson Health And Wellness Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Health And Wellness Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jackson Health And Wellness Clinic, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jackson Health And Wellness Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2114071) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jackson Health And Wellness Clinic, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Jackson Health And Wellness Clinic, 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 Health And Wellness Clinic, LLC was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jackson Health And Wellness Clinic, Llc · NPI 1730534090
Primary Care organization in Glasgow, Kentucky. Organization record, active in the CMS NPPES registry since April 24, 2016.
## Identity
- **NPI:** 1730534090 (Entity type: Organization)
- **Enumerated:** April 24, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Britney Jackson, CEO
## Practice location
- **Address:** 102 PHYSICIANS BLVD STE B, Glasgow, KY 42141-1299
- **Phone:** (270) 629-6722 · **Fax:** (270) 629-6723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2023
- **Other identifiers:** Medicaid 7100144360 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730534090) · Data from the CMS NPPES public registry.