Jamie Kozdron, MD
Individual provider Active NPI Family Medicine Physician · Bad Axe, MI
NPI 1285259689 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1285259689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301509389 (MI)
- Practice address
- 684 N Port Crescent St
Bad Axe, MI 48413-1275 - Phone
- (989) 912-6575
- Fax
- (989) 912-6013
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hills and Dales General Hospital Inc
Practice addresses (Care Compare)
4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6275
Hospital & facility affiliations
- Residential Home Health and Hospice
- Deckerville Community Hospital
- Hills & Dales General Hospital
- Marlette Regional Hospital
- McKenzie Health System
- McLaren Thumb Region
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002002702 | MI | Practitioner - Family Practice | 8325460132 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301509389 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Marlette Regional Hospital | Family Medicine | Current |
Accepting new patients |
| Deckerville Community Hospital Inc | Current | Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Mymichigan Medical Center Midland | Family Medicine | Past |
Accepting new patients |
| Deckerville Community Hospital, Inc. | Past | Accepting new patients | |
| Mymichigan Medical Center Midland | Past |
Accepting new patients | |
| Deckerville Community Hospital, Inc. | Family Medicine | Past | Accepting new patients |
Locations
684 N Port Crescent St
Bad Axe, MI 48413
Phone (989) 912-6575
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112
2030 Black River St
Deckerville, MI 48427
Phone (810) 376-2835
2433 Black River St
Deckerville, MI 48427
Phone (810) 376-2835
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
Interoperability endpoints
- jkozdron75574@mymichiganhealth.midirect.net
- jkozdron73379@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351046111 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351046111 | MI | |
| Family Medicine Physician | 207Q00000X | 4301509389 | MI | Yes |
Addresses
Primary practice location
684 N Port Crescent St
Bad Axe, MI 48413-1275
Mailing address
684 N Port Crescent St
Bad Axe, MI 48413-1275
Phone (989) 912-6575
Other practice location 1
2433 Black River St
Deckerville, MI 48427-9425
Phone (810) 376-2885
Other providers in Bad Axe, MI
- Juliann Koehn
- Catherine Ann Koglin
- Jeff Lenn Koglin
- Lisa Kolar
- Henry Kozdron
- Brian Christopher Krager
- Beth Krug
- Valerie Kubacki
- Aaron Kuhl
- Meg Christine Kunisch
All providers in Bad Axe, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.