Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum
Mark A Jackson MD Plc
Geriatric Medicine (Family Medicine) Physician in Traverse City, MI · enumerated 2008 · authorized official Mark Jackson, Physician/Owner.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1740439025
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Registry record
Taxonomy & classification
Authorized official
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B81350 | Other | MI | BCBS GROUP ID# |
| 1073585238 | Other | MI | IND NPI |
| 0802802421 | Other | MI | BCBS PIN# |
| 080B813500 | Other | MI | BCBS ID# |
| 1740439025 | Other | MI | GROUP NPI |
| 0MI1114 | Other | MI | MEDICARE GROUP |
| 1073585238 | Medicaid | MI | - |
| MI1114001 | Other | MI | MEDICARE IND PTAN |
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.
Frequently asked questions
What type of organization is Mark A Jackson MD Plc?
What is a Type 2 NPI?
Providers at this address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-18.