JACKSON COUNTY
NPI 1780692400
Preventive Medicine - Public Health & General Preventive Medicine in Jackson, MI
NPI Status: Active since August 05, 2006
Contact Information
1715 LANSING AVE
JACKSON, MI
ZIP 49202
Phone: (517) 788-4420
Fax: (517) 788-4373
- Organization
- Preventive Medicine
- Public Health & General Preventive Medic...
- Accepts Insurance
About JACKSON COUNTY
This page provides the complete NPI Profile along with additional information for Jackson County, a provider established in Jackson, Michigan operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1780692400 assigned on August 2006. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's
- NPI
- 1780692400
- Provider Legal Name
- JACKSON COUNTY
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1715 LANSING AVE JACKSON, MI 49202
- Location Phone
- (517) 788-4420
- Location Fax
- (517) 788-4373
- Mailing Address
- 1715 LANSING AVE JACKSON, MI 49202
- Mailing Phone
- (517) 788-4420
- Mailing Fax
- (517) 788-4373
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-05-2006
- Last Update Date
- 03-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Public Health & General Preventive Medicine
- Taxonomy Code
- 2083P0901X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 251K00000X | Agencies | Public Health or Welfare |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 868 | OTHER (01) | MI | HEALTH PLAN OF MICHIGAN |
| 4300 | OTHER (01) | MI | GREAT LAKES HEALTH PLAN |
| 77 279528 | MEDICAID (05) | MI | |
| 77 4411612 | MEDICAID (05) | MI | |
| 85 | OTHER (01) | MI | HEALTH PLAN OF MICHIGAN |
| 1339 | OTHER (01) | MI | HEALTH PLAN OF MICHIGAN |
| 77 1850332 | MEDICAID (05) | MI | |
| 77 4411621 | MEDICAID (05) | MI | |
| 895 | OTHER (01) | MI | GREAT LAKES HEALTH PLAN |
| 23 5100475 | MEDICAID (05) | MI | |
| 77 3144336 | MEDICAID (05) | MI | |
| 1330 | OTHER (01) | MI | HEALTH PLAN OF MICHIGAN |
| 77 3363548 | MEDICAID (05) | MI | |
| 77 4387900 | MEDICAID (05) | MI | |
| OC8100 | OTHER (01) | MI | BLUE CARE NETWORK OF MI |
| 15 5173678 | MEDICAID (05) | MI |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Adm sarscv2 30mcg trs-sucr 1
Administration of influenza virus vaccine
Fee covid-19 vac 13 res
Fee covid-19 vac 14 res
Influenza vaccine split virus, preservative free
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose
This is a procedure for administering the SARS-CoV-2 vaccine. The "30mcg" refers to the dosage of the vaccine, and "trs-sucr" is a component in the vaccine. The vaccine helps your body develop immunity to the COVID-19 virus to prevent illness.
This service was performed 35 times for 35 patientsThe administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 90 times for 90 patientsThe "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
This service was performed 46 times for 46 patientsThe "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
This service was performed 55 times for 55 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 81 times for 81 patientsThis is a COVID-19 vaccine injection, given into a muscle. It's the first dose of a two-dose series. The vaccine, made from mRNA technology, targets the virus's spike protein. It's free of preservatives and each dose contains 100 mcg in a 0.5ml solution.
This service was performed 31 times for 31 patientsReviews for JACKSON COUNTY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780692400, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
JACKSON, MI 49202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780692400, enumerated as an "organization" on August 05, 2006.
The provider is located at 1715 LANSING AVE JACKSON, MI 49202 and the phone number is (517) 788-4420.
Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
