Jackson Health Services
NPI 1205090354 · Clinic/Center · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Health Services is a Clinic/Center organization in Detroit, MI (NPI 1205090354).
Provider details
- NPI number
- 1205090354
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Jackson-Hammond, Medical Director(313) 831-8805
- License
- 4301046737 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Registry dates
- Enumerated
- 2008-07-17
- Last updated
- 2008-07-17
Frequently asked questions
- What is Jackson Health Services's NPI number?
- Jackson Health Services's National Provider Identifier (NPI) is 1205090354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Health Services?
- Jackson Health Services is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackson Health Services located?
- Jackson Health Services's practice location on file with NPPES is 3800 Woodward Ave, Detroit, MI 48201-2061.
- What is Jackson Health Services's phone number?
- The practice phone number listed in the NPPES registry for Jackson Health Services is (313) 831-8805.
- Does Jackson Health Services accept Medicare?
- Jackson Health Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Health Services?
- The authorized official listed on Jackson Health Services's NPPES record is Mary Jackson-Hammond, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Health Services's NPI active?
- Yes — Jackson Health Services's NPI (1205090354) is active in the NPPES registry as of the last update on 2008-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.