Active NPI
Jacqueline Michaela Davis, PA-C
- Physician Assistant
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 505 N Jackson St
Jackson, MI 49201-1266 - Phone
- (517) 748-5500
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
505 N Jackson St
Jackson, MI 49201-1266
Mailing address
505 N Jackson St
Jackson, MI 49201-1266
Phone (517) 748-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 N Jackson St
Jackson, MI 49201-1266
Hospital & facility affiliations
- Elara Caring
- Henry Ford Allegiance Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Health | Physician Assistant | Current | Accepting new patients |
| Center for Family Health | Current | Accepting new patients | |
| Center for Family Health | Physician Assistant | Past | Accepting new patients |
Locations
544 Wildwood Ave
Jackson, MI 49201
Phone (517) 780-0838
505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500
6700 Rives Junction Rd
Jackson, MI 49201
Phone (517) 569-3200
1024 Fleming Ave
Jackson, MI 49202
Phone (517) 748-5500
1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200
2400 4th St
Jackson, MI 49203
Phone (517) 788-6812
Interoperability endpoints
- jdavis1088014@direct.hfhs.org
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1780784439
Physician Assistant
-
- Urgent Care Clinic/Center
- Battle Creek, MI
- NPI 1700539251
-
- Urgent Care Clinic/Center
- Chelsea, MI
- NPI 1811568272
-
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1609590900
-
- Urgent Care Clinic/Center
- Lambertville, MI
- NPI 1043958473
-
- Urgent Care Clinic/Center
- Adrian, MI
- NPI 1447825351
-
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1649984568
-
- Urgent Care Clinic/Center
- Plainwell, MI
- NPI 1356014567
-
- Urgent Care Clinic/Center
- Tecumseh, MI
- NPI 1245849298
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1679905376
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1710764410
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1740008069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N JACKSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011266",
"telephone_number": "517-748-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N JACKSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011266",
"telephone_number": "517-748-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JACQUELINE",
"middle_name": "MICHAELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.