Jackson Medical Center PC

Jackson Medical Center PC is a healthcare organization registered as Family Medicine Physician in Jackson, MO, holding Type 2 (organization) NPI 1508048125 since 2007. The authorized official on file is Stacey Cantrell, Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1508048125
Entity type	Organization (Type 2)
Legal business name	Jackson Medical Center PC
Practice address	2387 W JACKSON BLVD, Jackson, MO, 63755
Phone	5732439288
Fax	5732047074
Enumeration date	2007-12-05
Last updated in NPPES	2020-10-07

Authorized official

Name	Stacey Cantrell
Title	Manager
Phone	5733351779

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Jackson Medical Center PC
NPI: 1508048125
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 2387 W JACKSON BLVD, Jackson, MO, 63755

Providers at this address

NPI	Name	Type	Specialty	Location
1912908963	Jerrell Driver	Individual	Clinical Psychologist	Jackson, MO
1740389980	Charles Pewitt	Individual	Family Medicine Physician	Jackson, MO
1134389950	Justin Franke	Individual	Physical Therapist	Jackson, MO
1346487931	Julia Pewitt	Individual	Family Medicine Physician	Jackson, MO
1053650259	Geoffrey Enders	Individual	Physical Therapist	Jackson, MO

Verify this record

Cross-check NPI 1508048125 against the authoritative CMS record: view Jackson Medical Center PC 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-07. Verify at npiregistry.cms.hhs.gov.

Where is Jackson Medical Center PC located?

The practice location on file with NPPES is in Jackson, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-07.