JACKSON PHYSICIAN CORP
NPI 1841234671
General Practice in Jackson, KY

Q: 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.

Q: What is Jackson Physician Corp's specialty?

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

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: August 02, 2026.

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

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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

Phone(066) 936-4830

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

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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

Other Providers at the Same Location NPPES 6

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

DR. GEORGE EDWARD BURNETTE MD

Family Medicine

424 JETT DR
JACKSON, KY 41339

Breathitt County (606) 666-6000

REBECCA MAE HOLBROOK APRN

Nurse Practitioner (Family)

424 JETT DR
JACKSON, KY 41339

Breathitt County (606) 666-6600

JACKSON PHYSICIAN CORP

Durable Medical Equipment & Medical Supplies

424 JETT DR
JACKSON, KY 41339

Breathitt County (606) 666-5354

DR. MENDOZA'S PEDIATRIC AND ADOLSCENT

Pediatrics (Adolescent Medicine)

424 JETT DR
JACKSON, KY 41339

Breathitt County (606) 693-4800

JACKSON HOSPITAL CORPORATION

Clinic/Center (Rural Health)

424 JETT DR
JACKSON, KY 41339

Breathitt County (606) 666-6600

KENTUCKY RIVER PHYSICIAN CORPORATION

Clinic/Center (Rural Health)

424 JETT DR
JACKSON, KY 41339

Breathitt County (606) 666-6600

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.

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 20 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.