Jpl Family Medicine, Inc
LBN: Jacksons Point Of Light Family Medicine Inc.
Jpl Family Medicine, Inc is an health care organization with primary practice located at 1810 Stadium Dr Suite 210, Phenix City AL 36867-3177. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jacksons Point Of Light Family Medicine Inc. can be contacted via phone (334) 291-5255, or through Jackson, Derric N via phone (334) 291-5255.
Contact Information
Primary practice address
1810 Stadium Dr Suite 210
Phenix City AL 36867-3177
Phone: (334) 291-5255
Fax: (877) 395-0710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1578758553 |
|---|---|
| LBN Legal business name | Jacksons Point Of Light Family Medicine Inc. |
| DBA Doing business as | Jpl Family Medicine, Inc |
| Authorized official | Jackson, Derric N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578758553 | NPPES |
| Georgia | MEDICAID | 053082406B | |
| Georgia | Other | MD 26806 | |
| Georgia | MEDICAID | 101067 | |
| Georgia | Other | 056705 |
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