Jackson Primary Care LLC
NPI 1790213676 · Primary Care Clinic/Center · Jackson, MO
Jackson Primary Care LLC is a Primary Care Clinic/Center organization in Jackson, MO (NPI 1790213676).
Provider details
- NPI number
- 1790213676
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joan Mayberry, Office Manager(573) 204-1400
- License
- 106442 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-05-23
- Last updated
- 2017-05-25
Frequently asked questions
- What is Jackson Primary Care LLC's NPI number?
- Jackson Primary Care LLC's National Provider Identifier (NPI) is 1790213676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Primary Care LLC?
- Jackson Primary Care LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackson Primary Care LLC located?
- Jackson Primary Care LLC's practice location on file with NPPES is 2685 E Main St Ste a, Jackson, MO 63755-2474.
- What is Jackson Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Primary Care LLC is (573) 204-1400.
- Who is the authorized official for Jackson Primary Care LLC?
- The authorized official listed on Jackson Primary Care LLC's NPPES record is Joan Mayberry, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Primary Care LLC's NPI active?
- Yes — Jackson Primary Care LLC's NPI (1790213676) is active in the NPPES registry as of the last update on 2017-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.