JACKSON MADISON COUNTY GENERAL HOSPITAL (NPI# 1669400131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669400131 |
| Entity Type | Organization |
| Organization Name | JACKSON MADISON COUNTY GENERAL HOSPITAL |
| Practice Address |
708 W Forest Ave Jackson TN 38301-3901 |
| Mailing Address |
Po Box 3788 Jackson TN 38303-3788 |
| Practice Telephone | 7314256149 |
| Practice Fax Number | 7316608739 |
| Mailing Telephone | 7316608737 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMA M PHILLIPS (DIRECTOR OF PHYSICIAN BILLING) |
| Authorized Official Telephone | 7316608737 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3273711 | 05 |
| 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 |
| 1073683884 | Jackson Madison County General Hospital | Pharmacy | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-11-09 |
| 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 |
| Street Address |
708 W FOREST AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958216 | Robert E Turner IIi | Emergency Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2005-08-03 |
| 1295981496 | Amber Lynn Stafford | Nurse Anesthetist, Certified Registered | 708 W Forest Ave, Jackson, TN 38301-3901 | 2008-08-07 |
| 1508020744 | Susan D Crocker | Nurse Anesthetist, Certified Registered | 708 W Forest Ave, Jackson, TN 38301 | 2008-07-16 |
| 1679736516 | Jackson Pathology Group A Professional Corporation | Pathology | 708 W Forest Ave, Jackson, TN 38301-3901 | 2008-07-09 |
| 1699954636 | Victor Go | Hospitalist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-10-26 |
| 1811184484 | Amy Renee' Anderson | Occupational Therapist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-09-27 |
| 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 |
| 1700090461 | Brian James Shaw | Pharmacist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-10 |
| 1336271303 | Katherine Carr Greer | Physical Therapist | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-03-12 |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679583728 | William Douglas Routh | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2006-08-09 |
| 1487669297 | Marvin Barry Mccay | Radiology | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-07-30 |
| 1356325393 | William Forrest Carson | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033351432 | Albert Morris | Radiology | 3236 Winddrift Cir, Memphis, TN 38125-0769 | 2009-03-31 |
| 1922207026 | Christopher Scott Jones | Radiology | 1161 21st Ave S Ste Ccc 1118, Nashville, TN 37232-2735 | 2007-07-17 |
| 1558620864 | William Jamison Walton | Radiology | 1161 21st Ave S, Mcn Suite Ccc-1118, Nashville, TN 37232-2675 | 2012-05-07 |
| 1295091148 | Colin Michael Carroll | Radiology | 1161 21st Ave South, Medical Center North, Suite Ccc-1106, Nashville, TN 37232-2675 | 2012-04-04 |
| 1457588832 | William Harlan Laxton | Radiology | 3601 Tvc, Nashville, TN 37232-0001 | 2009-06-12 |
| 1568697522 | Udaykamal Harisinh Barad | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2009-05-20 |
| 1336397124 | Robert Daniel Thurman | Radiology | 3053 W State St, Bristol, TN 37620-1720 | 2008-09-04 |
| 1104041409 | Geoffrey Schaeffer Goodin | Radiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2007-04-13 |
| 1831229095 | Erin A Cooke | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2756 | 2007-03-06 |
| 1265578116 | Jeffrey Stephen Alvis | Radiology | 975 E 3rd St, Box 376, Chattanooga, TN 37403-2147 | 2007-01-29 |
| 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.