JACKSON CLINIC PA
NPI 1689443038
Durable Medical Equipment & Medical Supplies in Jackson, TN

NPI Status: Active since December 27, 2023

Contact Information

145 INNOVATION DR
JACKSON, TN
ZIP 38305
Phone: (731) 422-0213

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  • Durable Medical Equipment & Medical Supp...

About JACKSON CLINIC PA

This page provides the complete NPI Profile along with additional information for Jackson Clinic Pa, a provider established in Jackson, Tennessee operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1689443038 assigned on December 2023. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mark Allen (C.e.o.)

NPI
1689443038
Provider Name
JACKSON CLINIC PA
Entity Type
Organization
Location Address
145 INNOVATION DR JACKSON, TN 38305
Location Phone
(731) 422-0213
Mailing Address
PO BOX 400 JACKSON, TN 38302
Mailing Phone
(731) 423-8697
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-27-2023
Last Update Date
12-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK ALLEN

Authorized Official Title
C.E.O.
Authorized Official Phone
(731) 422-0330

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689443038
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616984606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 8 + 4 + 6 + 0 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1689443038 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003273814 KATHERINE E WYATT A.P.R.N.
Individual
Nurse Practitioner145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1073635132DR. ANTWAN D ROBINSON M.D.
Individual
Internal Medicine (Interventional Cardiology)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1083960314DR. MARCIE D LEWIS O.D.
Individual
Optometrist145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1134523939 JENNA R GRIFFIN D.N.P.
Individual
Nurse Practitioner (Family)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1225741549 LESLIE D MEALS A.P.R.N.
Individual
Nurse Practitioner (Family)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1295298255 SARAH S BATEMAN NP
Individual
Nurse Practitioner145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1306282033DR. KIANA J BROOKS M.D.
Individual
Obstetrics & Gynecology145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1306330170 DANIEL R FLEMING M.D.
Individual
Obstetrics & Gynecology145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1336625961MR. RAMON PADILLA P.A.
Individual
Physician Assistant145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1346218070 MICHAEL O OSAYAMEN M.D.
Individual
Internal Medicine (Cardiovascular Disease)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1356528442DR. SHAHZAD SHAH M.D.
Individual
Internal Medicine (Cardiovascular Disease)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1407092836 MARGARET J SPRAGINS A.P.R.N.
Individual
Nurse Practitioner145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1427651157 ZADA K WHITE A.P.R.N.
Individual
Nurse Practitioner145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1447317078MR. JAY M WENTWORTH P.T.
Individual
Physical Therapist145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1558330670 JUDITH BASKIN A.P.R.N.
Individual
Nurse Practitioner145 INNOVATION DR STE 300
JACKSON, TN 38305
(731) 422-0213
1578053633 ROBERT S MEEK M.D.
Individual
Ophthalmology145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1588754535DR. PAMELA A WELLS M.D.
Individual
Radiology (Diagnostic Radiology)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1609861293 CHRISTOPHER J CHERRY M.D.
Individual
Internal Medicine (Cardiovascular Disease)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1629047782 DEBORAH WOODS A.P.R.N.
Individual
Nurse Practitioner (Family)145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213
1639618663MRS. HEATHER N FESMIRE P.A.
Individual
Physician Assistant145 INNOVATION DR
JACKSON, TN 38305
(731) 422-0213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689443038, enumerated in the NPI registry as an "organization" on December 27, 2023

The provider is located at 145 Innovation Dr Jackson, Tn 38305 and the phone number is (731) 422-0213

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on December 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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