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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THAD M JACKSON D.O.
NPI 1891782421
Family Medicine in Grayling, MI

Active since September 29, 2005
1010 W NORTH DOWN RIVER RD, GRAYLING, MI 49738(989) 348-7671(989) 348-8414 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thad M Jackson D.o. NPPES

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

DR. THAD M JACKSON D.O. (NPI 1891782421) is an individual family medicine provider in Grayling, Michigan, licensed in Michigan (TJ013702) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1891782421
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THAD M JACKSONCredential: D.O.
Location Address1010 W NORTH DOWN RIVER RDGrayling, MI 49738-2060
Mailing Address1010 W North Down River RdGrayling, MI 49738-2060 · (989) 348-7671 · Fax (989) 348-8414
Phone(989) 348-7671
Fax(989) 348-8414
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1891782421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · TJ013702
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1010 W NORTH DOWN RIVER RD, Grayling, MI 49738
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Other Identifiers 1

Medicaid4303876MI

Other Providers at the Same Location NPPES 9

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

JAMIE LYNN CREGER AT
Specialist/Technologist (Athletic Trainer)
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0880
JAY RUDDY NP
Nurse Practitioner (Adult Health)
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0800
PAUL REYNOLDS DO
Surgery
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0800
DR. JAMES RICHARD SHURLOW D.O.
Surgery
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0800
NICHOLAS R FOX PA-C
Physician Assistant
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0800
STEVEN HAROLD GOLLISH M.D.
Surgery
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0880
BRANDON KEYS MD
Surgery
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-0800
GRAYLING FAMILY PRACTICE CLINIC
Family Medicine
1010 W NORTH DOWN RIVER RD
GRAYLING, MI 49738
Crawford County (989) 348-7671

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 Thad Jackson's NPI number?

The NPI number for Thad Jackson is 1891782421. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Thad Jackson located?

Thad Jackson practices at 1010 W North Down River Rd, Grayling, MI 49738. The listed phone number is (989) 348-7671.

What is Thad Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Thad Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.