Jackson Physician Corp
Jackson Physician Corp is a healthcare organization registered as General Practice Physician in Jackson, KY, holding Type 2 (organization) NPI 1841234671 since 2006. The authorized official on file is Laura Fey, Sr. Director Physician Rev Cycle.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1841234671 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Physician Corp |
| Practice address | 424 JETT DR, Jackson, KY, 41339 |
| Phone | 0669364830 |
| Enumeration date | 2006-06-15 |
| Last updated in NPPES | 2024-11-12 |
Authorized official
| Name | Laura Fey |
|---|---|
| Title | Sr. Director Physician Rev Cycle |
| Phone | 6152213641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207RC0000X | Cardiovascular Disease Physician | Secondary | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Secondary | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | Secondary | — | — |
| 208D00000X | General Practice Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65930364 | Medicaid | KY | — |
Copy-ready billing details
Provider: Jackson Physician Corp NPI: 1841234671 Taxonomy: 208D00000X (General Practice Physician) 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 |
| 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 |
| 1164722807 | Jackson Physician Corp | Organization | Durable Medical Equipment & Medical Supplies | 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 1841234671 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
How current is this record?
Where is Jackson Physician Corp located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-11-12.