Active NPI
Pulmonary Clinics of Southern Michigan
- Pulmonary Disease Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY CLINICS OF SOUTHERN MICHIGAN
- Practice address
- 517 Wildwood Ave
Jackson, MI 49201-1094 - Phone
- (517) 782-3190
- Fax
- (517) 782-1223
- NPI assigned
- Aug 17, 2006
- Last updated
- Aug 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Peterson
- Title
- Office Manager
- Phone
- (517) 782-3190
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
517 Wildwood Ave
Jackson, MI 49201-1094
Mailing address
517 Wildwood Ave
Jackson, MI 49201-1094
Phone (517) 782-3190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1100 E Michigan Ave
Ste 307
Jackson, MI 49201
Phone (517) 205-1594
524 Lansing Ave
Jackson, MI 49201
Phone (517) 782-2173
900 E Michigan Ave
#271
Jackson, MI 49201
900 E Michigan Ave
Ste 1
Jackson, MI 49201
Phone (517) 788-7866
900 E Michigan Ave
Ste 105
Jackson, MI 49201
Phone (517) 782-3190
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Jackson, MI
- NPI 1497097174
-
- Pulmonary Disease Physician
- Jackson, MI
- NPI 1871698639
Critical Care Medicine
-
- Pulmonary Disease Physician
- Jackson, MI
- NPI 1487610481
Critical Care Medicine
-
- Acute Care Nurse Practitioner
- Jackson, MI
- NPI 1235377516
-
- Family Nurse Practitioner
- East Jordan, MI
- NPI 1568887909
-
- Family Nurse Practitioner
- Novi, MI
- NPI 1265915748
-
- Internal Medicine Physician
- Ypsilanti, MI
- NPI 1164462693
-
- Pulmonary Disease Physician
- Jackson, MI
- NPI 1699720771
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1992818207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 WILDWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011094",
"telephone_number": "517-782-3190",
"fax_number": "517-782-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 WILDWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011094",
"telephone_number": "517-782-3190",
"fax_number": "517-782-1223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY CLINICS OF SOUTHERN MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "517-782-3190"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.