Jackson Medical Clinic, PC
NPI 1457594699ActiveOrganization· General Practice· Wagoner, OK
General Practice in Wagoner, Oklahoma, registered in NPPES in April 2009. The authorized official on file is Kelly Noel Haley, Office Manager.
Overview
| NPI | 1457594699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2009 |
| Last updated in NPPES | Mar 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 28153 | OK |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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