JACKSON MEDICAL CENTER, LLC
NPI 1891180089
Clinic/Center - Rural Health in Jackson, AL

NPI Status: Active since April 03, 2015

Contact Information

220 HOSPITAL DR
JACKSON, AL
ZIP 36545
Phone: (251) 246-1154
Fax: (251) 246-1108

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rural Health

About JACKSON MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Jackson Medical Center, Llc, a primary care provider established in Jackson, Alabama operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1891180089 assigned on April 2015. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Amy Gibson (Ceo)

NPI: 1891180089
Provider Name: JACKSON MEDICAL CENTER, LLC
Entity Type: Organization
Location Address: 220 HOSPITAL DR JACKSON, AL 36545
Location Phone: (251) 246-1154
Location Fax: (251) 246-1108
Mailing Address: PO BOX 250 GROVE HILL, AL 36451
Mailing Phone: (251) 246-1154
Mailing Fax: (251) 246-1108
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-03-2015
Last Update Date: 04-03-2015
Code Navigator

A primary care provider (PCP) like Jackson Medical Center, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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: Clinic/Center Rural Health
Taxonomy Code: 261QR1300X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: AMY GIBSON
Authorized Official Title: CEO
Authorized Official Phone: (251) 246-1154

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
H67212	MEDICARE UPIN (02)	AL

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	9	1	1	8	0	0	8	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	18	1	2	8	0	0	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 2 + 8 + 0 + 0 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1891180089 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.