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Active NPI 1598452864 Individual Practitioner Male Practitioner

Dr. Immanuel Jackson , DO

Internal Medicine • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Immanuel Jackson, DO is a certified Internal Medicine practicing in Lansing, MI. With approximately 3 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2023, Dr. Jackson delivers high-quality medical care to the local community at 1215 E MICHIGAN AVE.

Dr. Jackson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1215 E Michigan Ave

Lansing, MI 489121811

Telephone 5173641000
Associated Practice Facility / Clinic
🏢 Sparrow Specialty Hospital Facility NPI 1508869108

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2023

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lansing, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -14.7 yrs vs City Avg
City Avg: 17.7 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
138 Specialists

Practicing in Lansing, MI (6010 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (3 Years) 3 Yrs
Lansing Specialty Average (17.7 Years) 17.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 5101029445

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Amy Drabant , DO

Student in an Organized Health Care Education/Training Program

NPI 1003577529

Doctor of Osteopathic Medicine (D.O.)

Dr. Evan Bruce , MD

Student in an Organized Health Care Education/Training Program

NPI 1003651068

Doctor of Medicine (M.D.)

Dr. Brett Gerstner , DO

Emergency Medicine

NPI 1013356021

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Labutte , PA-C

Physician Assistant - Medical

NPI 1013568500

Physician Assistant (Certified)

Dr. Salma Mohamed , MD

Internal Medicine

NPI 1013659101

Doctor of Medicine (M.D.)

Dr. Maria Costa-Fox , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013977024

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 28, 2026

Registered at 1215 E MICHIGAN AVE, LANSING, MI 489121811 (Tel: 5173641000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2026

Internal Medicine (License #5101029445 in MI)

NPI Profile Active April 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2023

Registered at 5900 BYRON CENTER AVE SW, WYOMING, MI 495199606 (Tel: 6162527200)

📍
Updated Business Mailing Address April 18, 2023

Registered at 5900 BYRON CENTER AVE SW, WYOMING, MI 495199606 (Tel: 6162527200)

👤
Provider Name / Credentials Updated April 18, 2023

Recorded as IMMANUEL JACKSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598452864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2023
Last Update: May 28, 2026
Sole Proprietor: No

Mailing Address

5900 Byron Center Ave Sw

Wyoming, MI 495199606

Phone: 6162527200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.