RALEIGH PROFESSIONAL ASSOCIATES (NPI# 1871752105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871752105 |
Entity Type | Organization |
Organization Name | RALEIGH PROFESSIONAL ASSOCIATES |
Other Organization Name | JACKSON PROFESSIONAL ASSOCIATES |
Practice Address |
1869 Highway 45 Byp Suite 5 Jackson TN 38305-2464 |
Practice Telephone | 7316600880 |
Practice Fax Number | 7316680380 |
Mailing Telephone | 7316600880 |
Mailing Fax Number | 7316680380 |
Enumeration Date | 2008-06-02 |
Last Update Date | 2008-06-02 |
Authorized Official Name | BARBARA KAY DOTY (PROGRAM SPONSOR) |
Authorized Official Telephone | 9013727878 |
Is Organization Subpart | Y |
Parent Organization Name | RALEIGH PROFESSIONAL ASSOCIATES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
0000000036 | TN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jackson Professional Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881853117 | Raleigh Professional Associates | Clinic/Center | 2960b Austin Peay Hwy, Memphis, TN 38128-5602 | 2008-06-02 |
Street Address |
1869 HIGHWAY 45 BYP SUITE 5 |
City | JACKSON |
State | TN |
Zip Code | 38305-2464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225462088 | Traci Robinson | Licensed Practical Nurse | 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464 | 2013-08-29 |
1265866024 | Gloretta Dianna Turner | Licensed Practical Nurse | 1869 Highway 45 Byp, Jackson, TN 38305-2464 | 2013-08-29 |
1689008401 | Carolyn Ann Thomas | Licensed Practical Nurse | 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464 | 2013-08-28 |
1639515646 | Vcphcs Xix, LLC | Clinic/Center | 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464 | 2013-05-16 |
1588964811 | Good Samaritan Family Walk-in Clinic, LLC | Clinic/Center | 1869 Highway 45 Byp, Suite 4, Jackson, TN 38305-2464 | 2010-11-03 |
1447496435 | Harnisch Wellness Clinic Inc | Clinic/Center | 1869 Highway 45 Byp, Suite 2b, Jackson, TN 38305-2464 | 2008-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
Find all providers in zip 38305 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629510540 | Mississippi Comprehensive Treatment Centers, LLC | Clinic/Center | 1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028 | 2016-11-09 |
1164878419 | Ann Marshall | Clinic/Center | 2964 Terry Rd, Jackson, MS 39212-3055 | 2016-05-05 |
1093963944 | South Georgia Treatment, Inc | Clinic/Center | 794 Mcdonough Rd, Jackson, GA 30233-1572 | 2008-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
1902467913 | New Hope Treatment Center of Tennessee LLC | Clinic/Center | 135 Fox and Hound Way, Newport, TN 37821-8074 | 2019-06-21 |
1033624853 | East Tennessee Healthcare Holdings Inc | Clinic/Center | 203 Gray Commons Cir Ste 110, Gray, TN 37615-5407 | 2017-12-04 |
1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
1740889575 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 589 Stewarts Ferry Pike, Nashville, TN 37214 | 2020-10-22 |
1649897802 | The Patricia Hall Talbott Legacy Centers, LLC | Clinic/Center | 1821 W Broadway Ave, Maryville, TN 37801-5511 | 2020-07-02 |
1568009181 | Bhg Xxvii, LLC | Clinic/Center | 85 Harrison St, Savannah, TN 38372-2280 | 2019-12-02 |
1487025557 | Solutions of Savanannh, Inc. | Clinic/Center | 85 Harrison St, Savannah, TN 38372-2280 | 2015-10-14 |
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.