PRIMARY CARE CLINIC OF JACKSON, P.C.
NPI 1821278193
Internal Medicine in Portage, MI
About Primary Care Clinic Of Jackson, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE CLINIC OF JACKSON, P.C. (NPI 1821278193) is a healthcare organization registered as an internal medicine in Portage, Michigan and active in the NPI registry since November 2007. The organization lists Tahir A Alvi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Primary Care Clinic Of Jackson, P.c. 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 Primary Care Clinic Of Jackson, P.C., 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.
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 Primary Care Clinic Of Jackson, P.C.'s NPI number?
The NPI number for Primary Care Clinic Of Jackson, P.C. is 1821278193. It was assigned to this organization in the NPPES registry on November 5, 2007.
Where is Primary Care Clinic Of Jackson, P.C. located?
Primary Care Clinic Of Jackson, P.C. is located at 2218 Sugarloaf Ave, Portage, MI 49024. The listed phone number is (269) 327-9700.
What is Primary Care Clinic Of Jackson, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Primary Care Clinic Of Jackson, P.C. enrolled in Medicare?
Yes. Primary Care Clinic Of Jackson, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Clinic Of Jackson, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Primary Care Clinic Of Jackson, P.C.. 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.
When was this NPI record last updated?
The NPPES record for Primary Care Clinic Of Jackson, P.C. was last updated on July 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Primary Care Clinic Of Jackson, P.c. · NPI 1821278193
Internal Medicine organization in Portage, Michigan. Organization record, active in the CMS NPPES registry since November 5, 2007.
## Identity
- **NPI:** 1821278193 (Entity type: Organization)
- **Enumerated:** November 5, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Tahir Alvi, PRESIDENT
## Practice location
- **Address:** 2218 SUGARLOAF AVE, Portage, MI 49024-6771
- **Phone:** (269) 327-9700 · **Fax:** (269) 327-9701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2009
- **Other identifiers:** Medicare PIN 0M49360 (MI); Medicaid 3397804 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1821278193) · Data from the CMS NPPES public registry.