Jackson Physician Corp
Jackson Physician Corp is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Jackson, KY, holding Type 2 (organization) NPI 1164722807 since 2010. The authorized official on file is Debbie Brewer, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164722807 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Physician Corp |
| Other name | <Unavail> |
| Practice address | 424 JETT DR, Jackson, KY, 41339 |
| Phone | 6066665354 |
| Fax | 6066664857 |
| Enumeration date | 2010-10-28 |
| Last updated in NPPES | 2012-05-17 |
Authorized official
| Name | Debbie Brewer |
|---|---|
| Title | Director |
| Phone | 8778929813 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | — | KY |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | — | TN |
Copy-ready billing details
Provider: Jackson Physician Corp NPI: 1164722807 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 424 JETT DR, Jackson, KY, 41339
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003815390 | George Burnette | Individual | Family Medicine Physician | Jackson, KY |
| 1841234671 | Jackson Physician Corp | Organization | General Practice Physician | Jackson, KY |
| 1992827927 | Kentucky River Physician Corporation | Organization | Rural Health Clinic/Center | Jackson, KY |
| 1295908101 | Dr. Mendoza'S Pediatric and Adolscent | Organization | Pediatric Adolescent Medicine Physician | Jackson, KY |
| 1083145866 | Rebecca Holbrook-Watkins | Individual | Family Nurse Practitioner | Jackson, KY |
| 1912518978 | Jackson Hospital Corporation | Organization | Rural Health Clinic/Center | Jackson, KY |
Verify this record
Cross-check NPI 1164722807 against the authoritative CMS record: view Jackson Physician Corp on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jackson Physician Corp?
What is the NPI number for Jackson Physician Corp?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-05-17.