OrganizationActive
Jackson Gastroenterology Center, LLC
NPI 1265618904 · Ambulatory Surgical Clinic/Center · Jackson, MI
Provider details
- NPI number
- 1265618904
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rodney Lunn, Member(615) 425-0818
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4400 Ann Arbor Road
Jackson, MI 49202
Phone: (517) 990-0602
Street-level locationGet directions
Mailing address
4400 Ann Arbor Road
Jackson, MI 49202
Other names (DBA / former)
- Doing business as
- East Jackson Center
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2008-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.