Jackson Physician Corp
NPI 1134261167 · Family Medicine Physician · Booneville, KY
Jackson Physician Corp is a Family Medicine Physician organization in Booneville, KY (NPI 1134261167).
Provider details
- NPI number
- 1134261167
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Loretta Campbell, Clinic Coordinator(606) 593-5395
- License
- 02940 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Booneville Medical Clinic
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jackson Physician Corp's NPI number?
- Jackson Physician Corp's National Provider Identifier (NPI) is 1134261167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Physician Corp?
- Jackson Physician Corp is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Physician Corp located?
- Jackson Physician Corp's practice location on file with NPPES is Hwy 11 South, Booneville, KY 41314-9621.
- What is Jackson Physician Corp's phone number?
- The practice phone number listed in the NPPES registry for Jackson Physician Corp is (606) 693-0531.
- Who is the authorized official for Jackson Physician Corp?
- The authorized official listed on Jackson Physician Corp's NPPES record is Loretta Campbell, Clinic Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Physician Corp's NPI active?
- Yes — Jackson Physician Corp's NPI (1134261167) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.