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Roswell Clinic Corp

Family Medicine Physician in Roswell, NM · enumerated 2005 · authorized official Jennifer Jackson, Senior Director, Enrollment.

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

National Provider Identifier

1649267618

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Registry record

Entity type Organization (Type 2)
Legal business name Roswell Clinic Corp
Parent organization Roswell Clinic Corp
Practice address 350 W Country Club Rd, Ste 201, Roswell, NM, 88201
Phone (888) 801-5554
Enumeration date Oct 4, 2005
Last updated in NPPES Jan 25, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207RS0012X Sleep Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jennifer Jackson
Title Senior Director, Enrollment
Phone (877) 892-9815

Other identifiers

Identifier Type State Issuer
60806516 Medicaid NM -
DD5451 Other NM RR MEDICARE
DA5509 Other NM RR MEDICARE
NPI AND TIN Other NM BCBS

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

What is the NPI number for Roswell Clinic Corp?
The NPI for Roswell Clinic Corp is 1649267618, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Roswell Clinic Corp?
NPPES lists Jennifer Jackson (Senior Director, Enrollment) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-25.