Thad Jackson, D.O

ActiveIndividual ProviderFamily Medicine
NPI issued: September 29, 2005

Quick Facts

NPI Number
1891782421
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(989) 348-7671
StateMI

NPI Validation Status: Verified

Valid 10-digit NPI number (1891782421)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 29, 2005)
Data source: CMS NPPES

Provider Overview

THAD JACKSON, D.O is a Family Medicine provider based in Grayling, MI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1891782421
Provider TypeIndividual Provider
GenderMale
CredentialD.O
StatusActive
Enumeration DateSeptember 29, 2005

Practice Location

CityGrayling
StateMI
ZIP Code49738-2060
Phone(989) 348-7671

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMI

Mailing Address

CityGrayling
StateMI
ZIP Code49738-2060
Phone(989) 348-7671
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1891782421 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1891782421for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1891782421 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Thad Jackson's NPI number?
Thad Jackson's NPI number is 1891782421, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Thad Jackson's NPI currently active?
Yes, Thad Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Thad Jackson specialize in?
Thad Jackson specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Thad Jackson practice?
Thad Jackson practices in Grayling, MI 49738-2060.
When was Thad Jackson's NPI issued?
Thad Jackson's NPI was issued on September 29, 2005.
What is Thad Jackson's provider type?
Thad Jackson is registered as an Individual Provider under CMS NPI Type 1.