JACKSON PHYSICIAN CORP
NPI 1841234671
General Practice in Jackson, KY

Active since June 15, 2006
424 JETT DR, JACKSON, KY 41339(066) 936-4830 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Sep 19, 2024, Oct 3, 2023 and 5 more (8 updates tracked since 2016).

About Jackson Physician Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON PHYSICIAN CORP (NPI 1841234671) is a healthcare organization registered as a general practice in Jackson, Kentucky and active in the NPI registry since June 2006. The organization lists Laura J Fey, Sr. Director Physician Rev Cycle, as its authorized official.

NPPES Registry Identity

NPI1841234671
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJACKSON PHYSICIAN CORP
Location Address424 JETT DRJackson, KY 41339-9621
Mailing AddressPo Box 5009Brentwood, TN 37024-5009 · (615) 221-3641 · Fax (615) 221-1484
Organization SubpartNo
Authorized OfficialLaura J FeySr. Director Physician Rev Cycle · (615) 221-3641
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 12, 20248 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1841234671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
424 JETT DR, Jackson, KY 41339

Other Identifiers 1

Medicaid65930364KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Physician Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Jackson Physician Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner5
Certified Registered Nurse Anesthetist (CRNA)2
Internal Medicine2
Orthopedic Surgery2
Cardiac Electrophysiology1
General Surgery1
Obstetrics/Gynecology1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1992436166
540 JETT DR
Jackson, KY 41339
(606) 666-6137
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1083804041
540 JETT DR
Jackson, KY 41339
(606) 666-6479
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053960534
540 JETT DR
Jackson, KY 41339
(606) 666-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1972735025
726 HIGHWAY 11 N, SUITE 5
Jackson, KY 41339
(606) 693-0116
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1295283448
210 BLACK GOLD BLVD STE 210
Hazard, KY 41701
(606) 487-7000
✔ PECOS✔ Accepts Medicare21 mi
Orthopedic Surgery
NPI 1942329438
200 MEDICAL CENTER DR STE 2I
Hazard, KY 41701
(606) 487-0888
✔ PECOS✔ Accepts Medicare21 mi
Cardiac Electrophysiology
NPI 1497762314
128 MAHOGANY DR
Richmond, KY 40475
(859) 893-0136
✔ PECOS55 mi
Internal Medicine
NPI 1669674206
225 HOSPITAL DR
Winchester, KY 40391
(859) 737-8559
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1992461347
800 ROSE ST WHITNEY HENDRICKSON BLDG STE 331A
Lexington, KY 40536
(859) 323-5553
✔ PECOS✔ Accepts Medicare70 mi
Obstetrics/Gynecology
NPI 1689657850
800 ROSE ST WHITNEY HENDRICKSON BLDG STE 331A
Lexington, KY 40536
(859) 257-4488
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1205375409
800 ROSE ST WHITNEY HENDRICKSON BLDG STE 331A
Lexington, KY 40536
(859) 257-4488
✔ PECOS✔ Accepts Medicare70 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447574371
301 TYSON AVE
Paris, TN 38242
(731) 644-8535
✔ PECOS✔ Accepts Medicare287 mi
General Surgery
NPI 1912273962
100 FAIRFIELD DR SUITE 3
Seneca, PA 16346
(917) 755-7274
✔ PECOS✔ Accepts Medicare327 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932184751
3545 HIGHWAY 17
Murrells Inlet, SC 29576
(843) 299-1717
✔ PECOS✔ Accepts Medicare368 mi

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 Jackson Physician Corp's NPI number?

The NPI number for Jackson Physician Corp is 1841234671. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Jackson Physician Corp located?

Jackson Physician Corp is located at 424 Jett Dr, Jackson, KY 41339. The listed phone number is (066) 936-4830.

What is Jackson Physician Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jackson Physician Corp enrolled in Medicare?

Yes. Jackson Physician Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Physician Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Jackson Physician Corp. 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. The largest specialties are Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (2) and Internal Medicine (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson Physician Corp accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackson Physician Corp 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 Physician Corp was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.