Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack G Demoss, MD

Individual provider Family Medicine Physician · NPI 1891433595

Jack G Demoss, MD is a Family Practice in Omaha, Nebraska. Qualified in 2022, 4 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
4
Licensed in
IA, NE
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4932 S 202nd Ave
Omaha, NE 68135-3927
Phone: (402) 815-7500
Fax: (402) 815-7505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 37173 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-12436 (IA)

Record details

NPI number1891433595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing addressPo Box 3755, Omaha, NE 68103-0755

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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