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JACKSONS POINT OF LIGHT FAMILY MEDICINE INC. NPI 1578758553


NPI Information

NPI: 1578758553
Provider Name: JACKSONS POINT OF LIGHT FAMILY MEDICINE INC.

Doing Business As: JPL FAMILY MEDICINE, INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1810 STADIUM DR
SUITE 210
PHENIX CITY, AL
ZIP 36867
Phone: (334) 291-5255
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JACKSONS POINT OF LIGHT FAMILY MEDICINE INC. is a family medicine in Phenix City, AL. The provider is 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. JACKSONS POINT OF LIGHT FAMILY MEDICINE INC. NPI is 1578758553. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jpl Family Medicine, Inc.

The provider's business location address is:

1810 STADIUM DR
SUITE 210
PHENIX CITY, AL
ZIP 36867-177
Phone: (334) 291-5255
Fax: (877) 395-0710

The provider's authorized official is Derric N Jackson .
The authorized official title is Administraton/coo and has the following contact phone number (334) 291-5255.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1053082406BMEDICAIDGEORGIA
2MD 26806OTHERALABAMAAL LICENSE
3101067MEDICAIDALABAMA
4056705OTHERGEORGIAGA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.