JACKSON PHYSICIAN CORP NPI 1841234671

NPI Information

NPI: 1841234671
Provider Name: JACKSON PHYSICIAN CORP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address: 424 JETT DR
JACKSON, KY
ZIP 41339
Phone: (066) 936-4830

Map and Directions

Get Directions

NPI Details

JACKSON PHYSICIAN CORP is a general practice in Jackson, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JACKSON PHYSICIAN CORP NPI is 1841234671. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

424 JETT DR
JACKSON, KY
ZIP 41339-621
Phone: (066) 936-4830

The provider's authorized official is Laura J Fey .
The authorized official title is Sr. Director Physician Rev Cycle and has the following contact phone number (615) 221-3641.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 11/12/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207V00000X	Obstetrics & Gynecology		No
4	208D00000X	General Practice		Yes
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
6	261QP2000X	Clinic/Center	Physical Therapy	No
7	363L00000X	Nurse Practitioner		No
8	363LF0000X	Nurse Practitioner	Family	No
9	367500000X	Nurse Anesthetist, Certified Registered		No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65930364	MEDICAID	KENTUCKY

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI