Jackson Primary Care LLC
Jackson Primary Care LLC is a healthcare organization registered as Primary Care Clinic/Center in Jackson, MO, holding Type 2 (organization) NPI 1790213676 since 2017. The authorized official on file is Joan Mayberry, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790213676 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Primary Care LLC |
| Practice address | 2685 E MAIN ST STE A, Jackson, MO, 63755 |
| Phone | 5732041400 |
| Fax | 5732041480 |
| Enumeration date | 2017-05-23 |
| Last updated in NPPES | 2017-05-25 |
Authorized official
| Name | Joan Mayberry |
|---|---|
| Title | Office Manager |
| Phone | 5732041400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Secondary | 106442 | MO |
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Jackson Primary Care LLC NPI: 1790213676 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 2685 E MAIN ST STE A, Jackson, MO, 63755
Verify this record
Cross-check NPI 1790213676 against the authoritative CMS record: view Jackson Primary Care LLC 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
What is a Type 2 NPI?
What type of organization is Jackson Primary Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2017-05-25.