NPIMap

City of Jackson Healthcare Authority

A Medicare group practice based in Jackson, AL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2062950199), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062950199The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S)
Enrolled in
AL
Enrollments
7
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 1 place

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20240820001906 AL Part A Provider - Hospital 1952427874
O20240823003408 AL Part A Provider - Rural Health Clinic 1366808404
O20240821005139 AL Part A Provider - Hospital 1558487397
O20241107004087 AL Part A Provider - Home Health Agency 1770593204
O20250211002844 AL Part B Supplier - Clinic/Group Practice 1366808404
O20250410002540 AL Part B Supplier - Clinic/Group Practice 1952427874
O20260519000656 AL Part B Supplier - Hospital Department(S) 1952427874

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (16).

Sources for this page