IndividualActive
Samuel Muhammad Jackson
NPI 1396675039 · Case Manager/Care Coordinator · Vermilion, OH
Samuel Muhammad Jackson is a Case Manager/Care Coordinator provider in Vermilion, OH (NPI 1396675039).
Provider details
- NPI number
- 1396675039
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
4680 Liberty Ave
Vermilion, OH 44089-3243
Phone: (330) 947-6012
Street-level locationGet directions
Mailing address
4680 Liberty Ave
Vermilion, OH 44089-3243
Registry dates
- Enumerated
- 2026-05-22
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Frequently asked questions
- What is Samuel Muhammad Jackson's NPI number?
- Samuel Muhammad Jackson's National Provider Identifier (NPI) is 1396675039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Muhammad Jackson's specialty?
- Samuel Muhammad Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Samuel Muhammad Jackson located?
- Samuel Muhammad Jackson's practice location on file with NPPES is 4680 Liberty Ave, Vermilion, OH 44089-3243.
- What is Samuel Muhammad Jackson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Muhammad Jackson is (330) 947-6012.
- Is Samuel Muhammad Jackson's NPI active?
- Yes — Samuel Muhammad Jackson's NPI (1396675039) is active in the NPPES registry as of the last update on 2026-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.