JENNIFER C. JACKSON MD
NPI 1417054040
Family Medicine in Madisonville, KY
NPI Status: Active since September 17, 2006
Contact Information
200 CLINIC DR
MADISONVILLE, KY
ZIP 42431
Phone: (270) 825-7200
- Individual
- Female
- Family Medicine
About JENNIFER JACKSON
This page provides the complete NPI Profile along with additional information for Jennifer Jackson, a primary care provider established in Madisonville, Kentucky with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1417054040 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 23527 (KY). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1417054040
- Provider Name
- JENNIFER C. JACKSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 CLINIC DR MADISONVILLE, KY 42431
- Location Phone
- (270) 825-7200
- Mailing Address
- 200 CLINIC DR MADISONVILLE, KY 42431
- Mailing Phone
- (270) 825-7200
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-17-2006
- Last Update Date
- 10-08-2010
- Code Navigator
A primary care provider (PCP) like Jennifer Jackson 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 23527
- License State
- KY
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2083X0100X | Allopathic & Osteopathic Physicians | Preventive Medicine | 23527 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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.
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 |
|---|---|---|---|
| 23527 | OTHER (01) | KY | LICENSE |
| 64235278 | MEDICAID (05) | KY | |
| 000000044291 | OTHER (01) | BCBS PROVIDER NUMBER | |
| P00818437 | MEDICARE PIN (08) | KY | |
| 0683248 | MEDICARE PIN (08) | KY | |
| 0601464 | MEDICARE PIN (08) | KY | |
| C74785 | MEDICARE UPIN (02) | ||
| 00503047 | MEDICARE PIN (08) | KY | |
| 0396866 | MEDICARE PIN (08) | KY |
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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 | 4 | 1 | 7 | 0 | 5 | 4 | 0 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 5 | 8 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 5 + 8 + 0 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1417054040 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083620801 | TAMMY ANN BISHOP CRNA Individual | Nurse Anesthetist, Certified Registered | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7346 |
| 1174629273 | HARRY O. DEBANDI MD Individual | Urology | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1497851554 | RAMON H GONZALEZ MD Individual | Obstetrics & Gynecology | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1154427870 | JERRY REED MCNEAL MD Individual | Pediatrics | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1659477651 | DONALD S. KORN MD Individual | Pediatrics | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1659477628 | ROBERT M. GROVES MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1124124128 | RICHARD G KING MD Individual | Family Medicine | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1306942313 | CRAIG A LUNDQUIST MD Individual | Radiology (Diagnostic Radiology) | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1306943063 | RUDOLPH T. SCOTT MD Individual | Anesthesiology | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1124125760 | JOHN W. SCIARINI CRNA Individual | Nurse Anesthetist, Certified Registered | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1922105568 | PHILLIP ELLEGOOD CRNA Individual | Nurse Anesthetist, Certified Registered | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1467559112 | WALTER J.D. (DEON) PERKINS MD Individual | Anesthesiology | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1205933827 | ELIZABETH A. ALMES ARNP Individual | Nurse Practitioner (Family) | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1740387372 | THERESIA RENNER PA-C Individual | Physician Assistant (Surgical) | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1134226772 | STEVEN K HALLMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1043399082 | BRENDA L. BRUCE KCSA Individual | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 | |
| 1194804138 | CHERYL D HANCOCK KCSA Individual | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 | |
| 1093921827 | CLARENCE TEMPLE MD PLLC Organization | Orthopaedic Surgery | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
| 1366635963 | MR. ROGER E ORDAL CSA Individual | Physician Assistant (Surgical) | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 326-6116 |
| 1417101825 | ELIZABETH A CROUCH SLP Individual | Speech-Language Pathologist | 200 CLINIC DR MADISONVILLE, KY 42431 (270) 825-7200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417054040, enumerated in the NPI registry as an "individual" on September 17, 2006
The provider is located at 200 Clinic Dr Madisonville, Ky 42431 and the phone number is (270) 825-7200
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.