JACKSON MADISON COUNTY GENERAL HOSPITAL (NPI# 1205860475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205860475 |
| Entity Type | Organization |
| Organization Name | JACKSON MADISON COUNTY GENERAL HOSPITAL |
| Other Organization Name | CAMDEN FAMILY MEDICAL CLINIC |
| Practice Address |
186 Hospital Dr Camden TN 38320-1618 |
| Mailing Address |
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436 |
| Practice Telephone | 7315843151 |
| Practice Fax Number | 7315843168 |
| Mailing Telephone | 7316608759 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | JAMA M PHILLIPS (DIRECTOR PHYSICIAN BILLING) |
| Authorized Official Telephone | 7315121510 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACKSON MADISON COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Camden Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003831785 | Jackson Madison County General Hospital | Advanced Practice Midwife | 779 W Forest Ave, Jackson, TN 38301-3943 | 2006-07-13 |
| 1396770442 | Jackson Madison County General Hospital | Advanced Practice Midwife | 110 E Forest Ave, Jackson, TN 38301-4124 | 2006-07-11 |
| 1225029390 | Jackson Madison County General Hospital | Rehabilitation Unit | 620 Skyline Drive, Jackson, TN 38301-3901 | 2005-10-28 |
| 1205265485 | Jackson Madison County General Hospital | Durable Medical Equipment & Medical Supplies | 720 W Forest Ave, Jackson, TN 38301-3904 | 2013-11-07 |
| 1255547980 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1609082338 | Jackson Madison County General Hospital | Internal Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-05-16 |
| 1073683884 | Jackson Madison County General Hospital | Pharmacy | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-11-09 |
| 1437174216 | Jackson Madison County General Hospital | Pathology | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1750306437 | Jackson Madison County General Hospital | General Acute Care Hospital | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| 1184649865 | Jackson Madison County General Hospital | Rehabilitation Unit | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-07-13 |
| Street Address |
186 HOSPITAL DR |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043587769 | Janet Warren | Dietitian, Registered | 186 Hospital Dr, Camden, TN 38320-1618 | 2011-11-23 |
| 1760780738 | West Tennessee Medical Group, Inc. | Clinic/Center | 186 Hospital Dr, Camden, TN 38320-1618 | 2011-03-01 |
| 1447429386 | Jennifer Dawn Davis | Nurse Practitioner | 186 Hospital Dr, Camden, TN 38320-1618 | 2008-02-25 |
| 1134154081 | Jason L Hollingsworth | Family Medicine | 186 Hospital Dr, Camden, TN 38320-1618 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| 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 |
|---|---|---|---|---|
| 1467095463 | Ouachita Physician Services, LLC | Family Medicine | 415 Hospital Dr Ste 4, Camden, AR 71701-4651 | 2019-10-22 |
| 1942658349 | Christina Ferrari | Family Medicine | 800 Cooper St # 4, Camden, NJ 08102-1155 | 2016-05-26 |
| 1528396710 | Benjamin Sommer | Family Medicine | 5 Masonic Ave, Camden, NY 13316-1234 | 2009-11-26 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1043436371 | Susan Gail Fesnak | Family Medicine | 2 Riverside Drive, 1 Port Center, Suite 401, Camden, NJ 08103-1018 | 2007-04-17 |
| 1093834574 | Rollin Wycoff Md | Family Medicine | 2285 Maul Rd, Camden, AR 71701-2511 | 2007-03-28 |
| 1861529430 | Patricia A. Prior | Family Medicine | 326 Penn St, Camden, NJ 08102-1410 | 2007-02-28 |
| 1144365115 | Albemarle Family Practice Pllc | Family Medicine | 160c Hwy 158, Camden, NC 27921-6908 | 2007-02-20 |
| 1811040603 | Center City Medical Associates Pa | Family Medicine | 506 Broadway, Camden, NJ 08103 | 2007-01-18 |
| 1689730343 | Henry Lawrence Morganstein | Family Medicine | 1809 Broadway, Camden, NJ 08104-1333 | 2006-12-28 |
| Find all providers in CAMDEN | ||||
Please comment or provide details below to improve the information on JACKSON MADISON COUNTY GENERAL HOSPITAL.
| 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.