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JACKSON HEALTH AND WELLNESS CLINIC, LLC
NPI 1730534090
Clinic/Center - Primary Care in Glasgow, KY

Active since April 24, 2016CLIA 18D2114071 · Waiver
102 PHYSICIANS BLVD STE B, GLASGOW, KY 42141(270) 629-6722(270) 629-6723 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 16, 2023, Apr 22, 2021, Mar 27, 2018 and 1 more (4 updates tracked since 2016).

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

NPI1730534090
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACKSON HEALTH AND WELLNESS CLINIC, LLC
Location Address102 PHYSICIANS BLVD STE BGlasgow, KY 42141-1299
Mailing Address102 Physicians Blvd Ste BGlasgow, KY 42141-1299 · (270) 629-6722 · Fax (270) 629-6723
Phone(270) 629-6722
Fax(270) 629-6723
Organization SubpartNo
Authorized OfficialBritney JacksonCeo · (270) 629-6722
Enumeration DateApril 24, 2016
Last NPPES UpdateJune 27, 20234 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1730534090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
102 PHYSICIANS BLVD STE B, Glasgow, KY 42141
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100144360KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 18D2114071

Jackson Health And Wellness Clinic, LLC · Glasgow, KY
Active · expires Jun 6, 2028
CLIA Number18D2114071
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorMs. Britney Jackson
Laboratory Phone(270) 629-6722
Laboratory LocationJackson Health And Wellness Clinic, LLC102 Physicians Blvd, Suite B, Glasgow, KY 42141
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 2

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

MRS. BRITNEY M. JACKSON APRN
Nurse Practitioner (Family)
102 PHYSICIANS BLVD STE B
GLASGOW, KY 42141
Barren County (270) 629-6722
ASHLEY RAE WILLIAMS APRN
Nurse Practitioner (Family)
102 PHYSICIANS BLVD STE B
GLASGOW, KY 42141
Barren County (270) 629-6722

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 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.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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.