DR. CHAD MICHAEL JACKSON (NPI# 1386678191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386678191 |
| Entity Type | Individual |
| Full Name | DR. CHAD MICHAEL JACKSON |
| Credential | M.D. |
| Practice Address |
1747 Medical Center Pkwy Suite 210 Murfreesboro TN 37129-2563 |
| Practice Telephone | 6158931600 |
| Practice Fax Number | 6152256887 |
| Mailing Telephone | 6158931600 |
| Mailing Fax Number | 6152256887 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 41238 | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257178 | Chad Walker Jackson | Social Worker | 7709 Riverview Dr Apt 104, Jenison, MI 49428-7960 | 2019-04-22 |
| 1518484245 | Chad Edwin Jackson | Preventive Medicine | 14110 Six Mile Cypress Pkwy, Fort Myers, FL 33912-4314 | 2017-08-24 |
| 1710177142 | Chad William Jackson | Physical Therapist | 822 S Walnut St, Maryville, MO 64468-2565 | 2007-08-01 |
| 1780772533 | Chad J Jackson | Optometrist | 6575 Belding Rd Ne, Suite D, Rockford, MI 49341-7418 | 2006-10-10 |
| 1255706438 | Chad Jackson | Chore Provider | 2021 40th Ave, Tuscaloosa, AL 35401-3930 | 2015-12-14 |
| 1316329667 | Chad Jackson | Counselor | 3225 1st Ave N, Billings, MT 59101-2104 | 2015-06-23 |
| 1184067498 | Chad Harman Jackson | Ophthalmology | 111 W Main St Ste 200, Boise, ID 83702-7308 | 2013-04-17 |
| 1467773481 | Chad T Jackson | Physician Assistant | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2010-06-14 |
| 1063582120 | Chad M Jackson | Dentist | #5 Eureka Circle, Suite A, Wichita Falls, TX 76308 | 2006-11-08 |
| Street Address |
1747 MEDICAL CENTER PKWY SUITE 210 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699756551 | Theodore Geddes Shepard | Urology | 1747 Medical Center Pkwy, Suite 210, Murfreesboro, TN 37129-2563 | 2005-11-08 |
| 1336542315 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 1747 Medical Center Pkwy, Ste. 120, Murfreesboro, TN 37129-2563 | 2014-10-03 |
| 1548556251 | Harvey L Spencer Jr. | Dentist | 1747 Medical Center Pkwy, Ste 300, Murfreesboro, TN 37129-2563 | 2011-06-21 |
| 1508160052 | Lauren Hubbard Adcock | Nurse Practitioner | 1747 Medical Center Pkwy, Murfreesboro, TN 37129-2563 | 2010-12-26 |
| 1518275783 | Robin Hobbs | Dentist | 1747 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-2563 | 2010-09-21 |
| 1164651535 | Ronald S. Blockley | Dentist | 1747 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2563 | 2009-07-07 |
| 1073741864 | Stones River Medical Management, P.C. | Specialist | 1747 Medical Center Pkwy, Suite 120, Murfreesboro, TN 37129-2563 | 2009-06-30 |
| 1639307101 | Dr. Tracy A. Merrell, D.p.m., P.C. | Podiatrist | 1747 Medical Center Pkwy, Suite 100, Murfreesboro, TN 37129-2563 | 2009-06-23 |
| 1487888558 | Gregory E Stewart | Urology | 1747 Medical Center Pkwy, Suite 210, Murfreesboro, TN 37129-2563 | 2009-05-05 |
| 1033305172 | Woods Physical Therapy | Occupational Therapist | 1747 Medical Center Pkwy, Suite 140, Murfreesboro, TN 37129-2246 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083122642 | Daniela Kam | Specialist | 2615 Medical Center Pkwy Ste 1560, Murfreesboro, TN 37129-3758 | 2018-01-17 |
| 1437496577 | Center for Spine Joint and Neuromuscular Rehab PC | Specialist | 833 Memorial Blvd, Suite E, Murfreesboro, TN 37129-2986 | 2013-01-09 |
| 1356675177 | Jerry Neal Campbell | Specialist | 2110 Windsor St, Murfreesboro, TN 37130-1721 | 2009-09-25 |
| 1013156231 | Pain Management Group, P.C. | Specialist | 1547 Warrior Dr, Murfreesboro, TN 37128-0921 | 2009-02-11 |
| 1437316312 | Dana L Cox | Specialist | 257 Mcniel Dr, Murfreesboro, TN 37128-4509 | 2008-05-19 |
| 1073789004 | Sylvia Lunn | Specialist | 847 N Church St, Murfreesboro, TN 37130-2826 | 2008-04-30 |
| 1114102050 | Alice Jeanette Johnson | Specialist | 931 E Northfield Blvd, Murfreesboro, TN 37130-1204 | 2008-01-09 |
| 1124216395 | Jacqueline Ann Randolph | Specialist | 4131 Avalon Pl, Murfreesboro, TN 37128-4520 | 2007-10-11 |
| 1881880961 | Columbia Radiation Oncology | Specialist | 509 E Bell St, Murfreesboro, TN 37130-3059 | 2007-09-21 |
| 1437299195 | Stones River Medical Group PC | Specialist | 726 S. Church Street, Murfreesboro, TN 37130 | 2007-02-08 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.