JACKSON COUNTY
JACKSON COUNTY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1780692400, based in Jackson, MI. The organization lists 3 taxonomy classifications, with Public Health & General Preventive Medicine Physician recorded as primary.
Getting there
The practice address on file is 1715 LANSING AVE, Jackson, MI 49202. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 6103928841
- Enrollment ID
- O20070227000019
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Public Health & General Preventive Medicine covers
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. NUCC Health Care Provider Taxonomy, code 2083P0901X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083P0901X | Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine | — | — | primary |
| 251K00000X | Public Health or Welfare Agency | — | — | |
| 207R00000X | Internal Medicine Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1780692400 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 5, 2006 |
| Last updated | Mar 13, 2026 |
| Status | Active |
| Practice address |
1715 LANSING AVE Jackson, MI 49202 (517) 788-4420 Fax (517) 788-4373 |
| Other identifiers |
868
· Other (MI) 4300 · Other (MI) 77 279528 · Medicaid (MI) 77 4411612 · Medicaid (MI) 85 · Other (MI) 1339 · Other (MI) 77 1850332 · Medicaid (MI) 77 4411621 · Medicaid (MI) 895 · Other (MI) 23 5100475 · Medicaid (MI) 77 3144336 · Medicaid (MI) 1330 · Other (MI) 77 3363548 · Medicaid (MI) 77 4387900 · Medicaid (MI) OC8100 · Other (MI) 15 5173678 · Medicaid (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 8 | 0 | 6 | 9 | 2 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 7 | 0 | 3 | 9 | 4 | 4 | 0 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.