Michigan Neurosurgical Institute, P.C
NPI 1336184571ActiveOrganization· Neurological Surgery· Grand Blanc, MI
Neurological Surgery in Grand Blanc, Michigan, registered in NPPES in June 2006. The authorized official on file is Avery Michael Jackson, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336184571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2006 |
| Last updated in NPPES | Jul 28, 2023 |
| Certified by provider | Jul 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | AJ076974 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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