RALEIGH PROFESSIONAL ASSOCIATES


Address: 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464
Phone: 7316600880

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
0000000036 TN Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jackson Professional Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881853117 Raleigh Professional Associates Clinic/Center 2960b Austin Peay Hwy, Memphis, TN 38128-5602 2008-06-02

Office Location

Street Address 1869 HIGHWAY 45 BYP
SUITE 5
City JACKSON
State TN
Zip Code 38305-2464

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City JACKSON
Zip Code 38305

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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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