DR. THAD M JACKSON (D.O.) – Family Medicine Physician, NPI 1891782421

DR. THAD M JACKSON (D.O.) is a healthcare provider. based in Grayling, Michigan. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. TJ013702 (MI). The NPI Number for DR. THAD M JACKSON (D.O.) is 1891782421

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. THAD M JACKSON (D.O.)
NPI
1891782421
Phone
(989) 348-7671
Address
1010 W NORTH DOWN RIVER RD
Enumeration Date
29 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9893480550
Graduation Year
1994 (32 years ago)
PAC ID
8325035033
Group Practice PAC ID
2062736655
Professional Enrollment ID
I20090508000437
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THAD M JACKSON (D.O.)

  • Grayling Family Practice Clinic, 1010, West North Down River Road, Grayling, Crawford County, Michigan, 49738, United States

    GRAYLING, MI 497382060

    Phone: (989) 348-7671

    Fax: (989) 348-8414

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49738)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062736655View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
-NY

Reviews

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Frequently asked questions

What is the standard ID for DR. THAD M JACKSON (D.O.) in the U.S.?
In the U.S., DR. THAD M JACKSON (D.O.) is identified by NPI 1891782421.
Does the public listing show DR. THAD M JACKSON (D.O.) as active?
DR. THAD M JACKSON (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. THAD M JACKSON (D.O.)'s specialty?
The extract shows Family Medicine Physician for DR. THAD M JACKSON (D.O.). Clinical services aligned with this taxonomy classification.
Is DR. THAD M JACKSON (D.O.) tied to Grayling, Michigan?
If you are local to Grayling, Michigan, DR. THAD M JACKSON (D.O.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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