JACKSON PRIMARY CARE (NPI# 1235634023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235634023 |
| Entity Type | Organization |
| Organization Name | JACKSON PRIMARY CARE |
| Practice Address |
2010 Church St Ste 526 Nashville TN 37203 |
| Mailing Address |
2010 Church St Ste 526 Nashville TN 37203-2026 |
| Practice Telephone | 6153297969 |
| Mailing Telephone | 6153297969 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | DR. ROBERT ERIC JACKSON (CEO) |
| Authorized Official Telephone | 6154233276 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50448 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q020871 | 05 |
| Street Address |
2010 CHURCH ST STE 526 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| 1669834784 | Sara Beth Bluestein | Pediatrics | Vasap, 2611 West End Ave, Nashville, TN 37203 | 2016-03-28 |
| Find all providers in zip 37203 | ||||
| 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 |
|---|---|---|---|---|
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1831728054 | Sanitas Medical Center of Tennessee PC | Family Medicine | 2700 Gallatin Pike Ste A, Nashville, TN 37216-3702 | 2020-04-08 |
| 1851923817 | Tabitha Monique Ford | Family Medicine | 3926 Cross Creek Rd, Nashville, TN 37215-2403 | 2020-02-07 |
| 1942667761 | Harpeth Valley Health Center Pllc | Family Medicine | 213 Old Hickory Blvd, Nashville, TN 37221-1301 | 2016-01-25 |
| 1083001747 | Oyedotun Oyewole | Family Medicine | 1005 Dr D.b. Todd Jr Blvd, Nashville, TN 37208 | 2015-04-21 |
| 1922493576 | Monica A Stout | Family Medicine | 1500 21st Ave S Ste 3000, Nashville, TN 37212-3139 | 2015-03-31 |
| 1700213584 | Music City Medical Pllc | Family Medicine | 417 Welshwood Dr Ste 112, Nashville, TN 37211-4225 | 2013-10-11 |
| 1265869853 | Willie James Myers Jr. | Family Medicine | 2720 Clarksville Pike, Nashville, TN 37208-1259 | 2013-09-27 |
| 1336589613 | Ashley Elizabeth Terry | Family Medicine | 5700 Temple Rd, Nashville, TN 37221-4223 | 2013-07-01 |
| Find all providers in NASHVILLE | ||||
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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.