NPI
Jackson Clinic Pa
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-09-14
- Last updated
- 2025-09-10
Specialties
- 152W00000XOptometrist
- 207RC0000XInternal Medicine, Cardiovascular Disease
- 103T00000XPsychologist
- 207W00000XOphthalmology
- 207V00000XObstetrics & Gynecology
- 207RE0101XInternal Medicine, Endocrinology, Diabetes & Metabolism
- 207RG0100XInternal Medicine, Gastroenterology
- 207RP1001XInternal Medicine, Pulmonary Disease
- 207RN0300XInternal Medicine, Nephrology
- 207RI0011XInternal Medicine, Interventional Cardiology
- 207Q00000XFamily Medicine
- 207ND0101XDermatology, MOHS-Micrographic Surgery
- 207RI0200XInternal Medicine, Infectious Disease
- 133V00000XDietitian, Registered
- 207R00000XInternal Medicine
Licenses
The registry row did not include a license.
Location
- Practice location
- 2863 Highway 45 Byp
- City
- Jackson TN
- Postal code
- 38305-3618
- Phone
- (731) 664-1375
Organization contact
- Name
- MARK ALLEN
- Title
- C.E.O.
- Phone
- 7314220203
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jackson, TN. 3,209 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.