Individual provider Active NPI

Jarrett James Benaway, DC

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1396493151
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401233 Issued in MI
Practice address
6620 Brooklyn Rd
Jackson, MI 49201-9227
Phone
(517) 536-7058
Fax
(910) 586-1588
NPI assigned
Mar 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401233 MI Primary

Addresses

Primary practice location

6620 Brooklyn Rd
Jackson, MI 49201-9227

Mailing address

6620 Brooklyn Rd
Jackson, MI 49201-9227
Phone (517) 536-7058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317001661 MI Practitioner - Chiropractic 6002201605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6620 Brooklyn Rd
Jackson, MI 49201-9227
Phone (989) 708-7255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401233MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Benaway Chiropractic, LLC Chiropractor CurrentSince Aug 15, 2024 Accepting new patients

Locations

6620 Brooklyn Rd
Jackson, MI 49201
Phone (517) 536-7058

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1396493151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 BROOKLYN RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019227",
            "telephone_number": "517-536-7058",
            "fax_number": "910-586-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 BROOKLYN RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019227",
            "telephone_number": "517-536-7058",
            "fax_number": "910-586-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAWAY",
        "first_name": "JARRETT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.