UNIVERSITY OF TENNESSEE (NPI# 1780686436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780686436 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF TENNESSEE |
| Practice Address |
294 Summar Dr Jackson TN 38301-3915 |
| Mailing Address |
294 Summar Dr Dept. 289 Jackson TN 38301-3915 |
| Practice Telephone | 7314231932 |
| Practice Fax Number | 7314234919 |
| Mailing Telephone | 7312658220 |
| Mailing Fax Number | 7312658355 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JOAN L PORTER (MANAGER) |
| Authorized Official Telephone | 7312658220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3375617 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278179 | University of Tennessee | Anaplastologist | 875 Union Ave., Rooms S510b, Memphis, TN 38163-0001 | 2015-10-27 |
| 1740577428 | University of Tennessee | Student in an Organized Health Care Education/Training Program | 62 N Main St, Memphis, TN 38103 | 2011-07-01 |
| 1366756082 | University of Tennessee | Clinical Nurse Specialist | 220 Langland Street, Knoxville, TN 37915 | 2010-08-05 |
| 1033345541 | University of Tennessee | Special Hospital | 60 Harbor Town Sq, Memphis, TN 38103-8850 | 2009-06-10 |
| 1518037183 | University of Tennessee | Medical Genetics, Ph.D. Medical Genetics | 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 | 2006-11-09 |
| 1427064880 | University of Tennessee | Clinic/Center | 711 Jefferson Avenue, Memphis, TN 38105-5003 | 2006-07-31 |
| 1386625846 | University of Tennessee | Audiologist | 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 | 2005-11-10 |
| 1780686170 | University of Tennessee | Family Medicine | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2005-08-15 |
| 1912556895 | University of Tennessee | Dentist | 848 Adams Ave., Suite 101, Memphis, TN 38103-2816 | 2019-09-04 |
| 1235666793 | University of Tennessee | General Acute Care Hospital | 920 Madison Ave, Suite 447, Memphis, TN 38103-3438 | 2017-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE | 304 Administration Bldg, Martin, TN 38238-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE AT CHATTANOOGA | 615 Mccallie Ave, Chattanooga, TN 37403-2504 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE BUSINESS AFFAIRS | 116 Administration Bldg, Martin, TN 38238-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE INSTITUTE OF PUBLIC SERVICE/TENNESSEE LANGUAGE CENTER | 220 French Landing Dr Ste 1b, Nashville, TN 37243-1002 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE RESEARCH FOUNDATION | 600 Henley St Ste 211, Knoxville, TN 37996-0001 |
| Street Address |
294 SUMMAR DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596973 | Gregg Erwin Mitchell | Family Medicine | 294 Summar Dr, Jackson, TN 38301-3915 | 2005-05-23 |
| 1053940981 | Rachel Geenen | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-03 |
| 1346878568 | Caitlyn Trostel | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1265060479 | Madelyn Riels | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1326676560 | Zachary Zarzour | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1811525017 | Glynn Riels | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1851929038 | Jonathan Aristorenas | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1639707821 | Alexandra Burkich | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1679101869 | Christopher Bauer | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 1396373510 | Victoria Watson | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2020-04-01 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on UNIVERSITY OF TENNESSEE.
| 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.