WEST TENNESSEE KIDNEY SPECIALISTS P.C. (NPI# 1821291543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821291543 |
| Entity Type | Organization |
| Organization Name | WEST TENNESSEE KIDNEY SPECIALISTS P.C. |
| Practice Address |
221 Sterling Farms Drive Jackson TN 38305-3609 |
| Practice Telephone | 7316684337 |
| Practice Fax Number | 7316610124 |
| Mailing Telephone | 7316684337 |
| Mailing Fax Number | 7316610124 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | DR. KANDALA R CHARY (REGISTERED AGENT) |
| Authorized Official Telephone | 7316684337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
221 STERLING FARMS DRIVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521381 | Kandala R. Chary | Specialist | 221 Sterling Farms Drive, Jackson, TN 38305-3609 | 2006-05-02 |
| 1639407059 | Susan Alex Md PC | Internal Medicine | 221 Sterling Farms Drive, Jackson, TN 38305 | 2009-11-23 |
| 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 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1750513818 | Magnolia Addiction Treatment Services | Clinic/Center | 500 E Woodrow Wilson Ave Ste D, Jackson, MS 39216-4538 | 2009-08-21 |
| 1154549707 | Central Jackson Family Medical Clinic | Clinic/Center | 514 C Woodrow Wilson, Jackson, MS 39216 | 2007-04-20 |
| 1831437078 | James T Craig Jr Md Inc | Clinic/Center | 1004 Greystone Sq, Jackson, TN 38305-3580 | 2013-01-23 |
| 1407136708 | Therapy Staff Solutions | Clinic/Center | 1311 W Pearl St, Jackson, MS 39203-2841 | 2011-08-18 |
| 1710280557 | Cassandra F Thomas | Clinic/Center | 514c E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2010-12-17 |
| 1194044750 | Teton Dermatology Inc | Clinic/Center | 984 West Broadway, Suite 4, Jackson, WY 83001-0000 | 2010-05-21 |
| 1053554162 | Double Rainbow Sciences, LLC | Clinic/Center | 555 E. Broadway, Suite 108, Jackson, WY 83001 | 2009-04-20 |
| 1235318874 | Dermatology Associates LLC | Clinic/Center | 501 Marshall St Ste 606, Jackson, MS 39202-1650 | 2007-10-31 |
| 1992998124 | Farmer and Associates Internal Medicine | Clinic/Center | 1860 Chadwick Dr, Suite 303, Jackson, MS 39204-3463 | 2007-08-21 |
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|---|---|---|---|---|
| 1174152011 | Better Life Medical PC | Clinic/Center | 2103 Forest Dr Ste 6, Gray, TN 37615-8422 | 2020-04-03 |
| 1194362889 | Christal Joy Gammage | Clinic/Center | 435 S Front St Apt 101, Memphis, TN 38103-6403 | 2019-12-02 |
| 1609388438 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1060 Peerless Xing Nw Ste 100, Cleveland, TN 37312-3785 | 2017-11-02 |
| 1376095596 | Dr. Andrea's Medical & Weight Loss Clinic, Pllc | Clinic/Center | 8317 Cordova Rd, Suite 201, Cordova, TN 38016-2088 | 2016-11-04 |
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1417342973 | Sleep Disorders of Tennessee | Clinic/Center | 254 Ren Mar Dr Ste 200, Pleasant View, TN 37146-3723 | 2015-04-01 |
| 1891069555 | Hrc Medical Centers Inc | Clinic/Center | 301 14th Ave N, Nashville, TN 37203-3416 | 2012-02-28 |
| 1801177449 | Mcminn Ortopaedic Clinic, PC | Clinic/Center | 719 Cook Dr Ste 110, Athens, TN 37303-3495 | 2011-09-08 |
| 1104105873 | Swan Urogynecology, PC | Clinic/Center | 329 21st Avenue North, Suite 1, Nashville, TN 37203-1857 | 2011-08-11 |
| 1023304938 | William J Deaton | Clinic/Center | 1462 Wolf Park Rd, Germantown, TN 38138-2354 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
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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.