Organization Active NPI

Visiting Doctors PC

  • General Practice Physician
  • Jackson, MI
National Provider Identifier
1992974018
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VISITING DOCTORS PC
Practice address
2108 4TH St Ste a
Jackson, MI 49203-4518
Phone
(517) 788-9700
Fax
(517) 784-8975
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Ajovi Blessing Scott-Emuakpor, M.D.NPI 1376571000
Title
Owner
Phone
(517) 788-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MI Primary

Addresses

Primary practice location

2108 4TH St Ste a
Jackson, MI 49203-4518

Mailing address

PO Box 1002
Jackson, MI 49204-1002
Phone (517) 879-1007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000463 MI Part B Supplier - Clinic/Group Practice 5294814372 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

1302 N Eaton St
Albion, MI 49224
Phone (517) 629-9550

142 N Mechanic St
Jackson, MI 49201
Phone (517) 879-1007

2108 4th St
Ste A
Jackson, MI 49203
Phone (517) 788-9700

149 E Michigan Ave
Jackson, MI 49201
Phone (517) 629-9551

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFICCD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1992974018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492041002",
            "telephone_number": "517-879-1007",
            "fax_number": "517-784-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 4TH ST STE A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034518",
            "telephone_number": "517-788-9700",
            "fax_number": "517-784-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING DOCTORS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT-EMUAKPOR",
        "authorized_official_first_name": "AJOVI",
        "authorized_official_middle_name": "BLESSING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-788-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "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 Sep 25, 2014; 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.

Verify at the official NPI Registry.