BYRON MICHAEL BREEDING


Address: 144 Edenwood Dr, Jackson, TN 38301-3827
Phone: 7312561466

BYRON MICHAEL BREEDING (NPI# 1548241359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548241359
Entity Type Individual
Full Name BYRON MICHAEL BREEDING
Credential PA C
Practice Address 144 Edenwood Dr
Jackson
TN 38301-3827
Practice Telephone 7312561466
Mailing Telephone 7312561466
Enumeration Date 2005-11-09
Last Update Date 2009-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA0000001272 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P00292468 01
TN 3701995 05

Office Location

Street Address 144 EDENWOOD DR
City JACKSON
State TN
Zip Code 38301-3827

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629206784 Sarah Beth Poplawski Physician Assistant 205 N. East Avenue, Emergency Department, Jackson, MI 49201 2009-06-29
1225167356 Marianne Elizabeth Lapointe Physician Assistant 815 Court St Ste 7, Jackson, CA 95642-2154 2007-03-05
1386780237 Charles F Harris Physician Assistant 982 W. Broadway, Jackson, WY 83002 2007-01-29
1427109149 Coreen Dian Garcia-sweets Physician Assistant 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 2007-01-16
1861552556 Marc A Fierro Physician Assistant 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 2006-12-11
1427146539 James E Abernathy II Physician Assistant 294 Sumar Dr, Jackson, TN 38301 2006-10-11
1184633935 Kelly Elizabeth Graver Pate Physician Assistant 9279 Locust St., Jackson, CA 95669 2006-08-07
1033735709 Anna Marie Plumley Physician Assistant 1325 N West Ave, Jackson, MI 49202-2050 2020-06-18
1093347072 Jessica Emil Ansara Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2020-02-07
1588134456 Clay Ellenwood Physician Assistant 205 N East Ave, Jackson, MI 49201-1753 2018-12-04
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38301

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Dataset Information

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.

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