Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mark A Jackson, MD

Geriatric Medicine (Family Medicine) Physician in Traverse City, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073585238

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mark A Jackson

Credential MD

Sex Male

Practice address Traverse City, MI, 49684

Phone (231) 935-0913

Fax (231) 935-0984

Enumeration date Feb 2, 2006

Last updated in NPPES Oct 23, 2015

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 051555 (MI) Secondary

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 4301051555 (MI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1820487	Medicaid	MI	-
080B86010	Other	MA	BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Mark Jackson's NPI record?

Cross-check NPI 1073585238 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1073585238 active?

Yes, as of the latest NPPES snapshot, NPI 1073585238 is active (record last updated 2015-10-23).

Other providers at this practice address

Browse all →

County of Grand Traverse Skilled Nursing Facility · Traverse City, MI NPI 1326124322 Grand Traverse Pavilions Rehabilitation Clinic/Center · Traverse City, MI NPI 1649304270 Katrina Torgerson Physical Therapist · Traverse City, MI NPI 1265924542

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-23.