Lawrence R Jackson Jr. (NPI# 1386794816, PAC ID# 5698764298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386794816 |
| PAC ID by PECOS | 5698764298 |
| Professional Enrollment ID | I20090702000018 |
| Full Name | Lawrence R Jackson Jr. |
| Address |
451 Hwy 13 S Waverly TN 37185-2109 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441303 | THREE RIVERS HOSPITAL |
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 Hillwood Dr, Waverly, TN 37185-2116 | 9312963555 | LAWRENCE RICHARD JACKSON |
| 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Street Address |
451 HWY 13 S |
| City | WAVERLY |
| State | TN |
| Zip | 37185-2109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonia L Jackson | Anesthesiology | Concord Medical Group Pllc | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Justin Chaltry | Family Medicine | Concord Medical Group Pllc | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Joseph R Hames | Family Medicine | Concord Medical Group Pllc | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Patricia Kay Haeberle | Nurse Practitioner | Saint Thomas Medical Partners | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Jerry L Howard Ii | General Surgery | Humphreys County Community Health Services, Inc. | 451 Hwy 13 S, Waverly, TN 37185-2109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James H King | Optometry | 502 W Main St, Waverly, TN 37185-1407 | |
| Ashlin Underwood | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Melissa Dawn Holton | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kathi A Harper | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Julie Simpson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Jill Paulette Smith | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Shelley Neblett | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Chelsa Frey | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kimberly Masengill | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kirsten L Guthrie | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Find all physicians in zip 37185 | |||
| City | WAVERLY |
| Zip Code | 37185 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAVERLY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lawrence R Jackson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.