JACKSON MADISON COUNTY GENERAL HOSPITAL (NPI# 1073683884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073683884 |
| Entity Type | Organization |
| Organization Name | JACKSON MADISON COUNTY GENERAL HOSPITAL |
| Other Organization Name | EAST JACKSON FAMILY MED CENTER |
| Practice Address |
655 Lexington Ave Jackson TN 38301-5075 |
| Practice Telephone | 7314257909 |
| Practice Fax Number | 7312655087 |
| Mailing Telephone | 7314257909 |
| Mailing Fax Number | 7312655087 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | KEVIN BARRON (DIR) |
| Authorized Official Telephone | 7314254909 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
0000003148 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2092162 | 01 |
| Other Name | Type Code |
|---|---|
| EAST JACKSON FAMILY MED CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003831785 | Jackson Madison County General Hospital | Advanced Practice Midwife | 779 W Forest Ave, Jackson, TN 38301-3943 | 2006-07-13 |
| 1396770442 | Jackson Madison County General Hospital | Advanced Practice Midwife | 110 E Forest Ave, Jackson, TN 38301-4124 | 2006-07-11 |
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1205265485 | Jackson Madison County General Hospital | Durable Medical Equipment & Medical Supplies | 720 W Forest Ave, Jackson, TN 38301-3904 | 2013-11-07 |
| 1255547980 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1609082338 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1437174216 | Jackson Madison County General Hospital | Pathology | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1750306437 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1184649865 | Jackson Madison County General Hospital | Rehabilitation Unit | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1992720676 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| Street Address |
655 LEXINGTON AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564866 | Vernessa Lynn Davis-tharpe | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-05 |
| 1750926549 | Christ Community Health Services, Inc. | Clinic/Center | 655 Lexington Ave, Jackson, TN 38301-5075 | 2019-11-15 |
| 1609393768 | Chelsea Noel Schmidt | Nurse Practitioner | 655 Lexington Ave, Jackson, TN 38301-5075 | 2017-08-29 |
| 1295098895 | Arrie Beth Edwards | Pharmacist | 655 Lexington Ave, Jackson, TN 38301-5075 | 2012-06-19 |
| 1740594217 | Faith Health Center | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2010-07-27 |
| 1538494653 | West Tennessee Medical Group Inc | Durable Medical Equipment & Medical Supplies | 655 Lexington Ave, Jackson, TN 38301-5075 | 2009-10-07 |
| 1851509772 | Jennifer Lauren Tucker | Pharmacist | 655 Lexington Ave, Jackson, TN 38301-5075 | 2007-05-21 |
| 1790820785 | East Jackson Family Pharmacy | Pharmacist | 655 Lexington Ave, Attn.pharmacy, Jackson, TN 38301-5075 | 2007-02-20 |
| 1346335981 | David Larsen | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-10-03 |
| 1417972290 | Jackson Madison County General Hospital | Clinic/Center | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922319383 | Advance Pharmacy Services Pllc | Pharmacy | 317 N Parkway Ste 400, Jackson, TN 38305-2713 | 2010-06-30 |
| 1417090093 | University Pavilion Pharmacy | Pharmacy | 1410 E Woodrow Wilson Dr, Jackson, MS 39216 | 2007-02-14 |
| 1912452921 | Sports Medicine Pharmacy LLC | Pharmacy | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-08-19 |
| 1386863314 | State of Tennessee | Pharmacy | 295 Summar Dr, Jackson, TN 38301-3905 | 2007-04-25 |
| 1629109780 | Joint Venture Pharmacy, Inc. | Pharmacy | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2007-03-08 |
| 1831228618 | Jackson Clinic Pharmacy Inc | Pharmacy | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2007-03-05 |
| 1477668416 | Jackson Clinic Pharmacy Inc | Pharmacy | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574332 | Rutherford County Primary Care | Pharmacy | 1701 N Main St Ste E, Shelbyville, TN 37160-2301 | 2020-10-06 |
| 1932764941 | Take Charge Nutrition, LLC | Pharmacy | 1690 25th St Nw Ste D, Cleveland, TN 37311-3613 | 2019-05-06 |
| 1902961113 | C Michael Jones Mdpc | Pharmacy | 7710 Wolf River Cir, Germantown, TN 38138-1734 | 2006-12-27 |
| 1194829150 | Clinic Pharmacy Inc | Pharmacy | 1 Hermitage Ave, Nashville, TN 37210-2109 | 2006-09-12 |
| 1932725611 | Shelby County Health Care Corporation | Pharmacy | 1588 Union Ave, Memphis, TN 38104-3729 | 2020-06-18 |
| 1437790375 | Nashville Pharmacy Services LLC | Pharmacy | 1925 Ailor Ave, Knoxville, TN 37921-5804 | 2019-10-02 |
| 1972015121 | Nashville Pharmacy Services LLC | Pharmacy | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2017-10-27 |
| 1972952976 | Dar Salud Care Pllc | Pharmacy | 1068 Cresthaven Rd, Suite 300, Memphis, TN 38119-0800 | 2016-06-09 |
| 1154780716 | East Tennessee State University | Pharmacy | 2151 Century Ln, Johnson City, TN 37604-4469 | 2016-02-11 |
| 1871966499 | Hcchc Pharmacy | Pharmacy | 629 Nuckolls Rd, Suite A, Bolivar, TN 38008-1599 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.