JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT (NPI# 1871676593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871676593 |
| Entity Type | Organization |
| Organization Name | JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT |
| Other Organization Name | JACKSON MADISON COUNTY HEALTH DEPARTMENT |
| Practice Address |
804 North Parkway Jackson TN 38305-3058 |
| Practice Telephone | 7314233020 |
| Practice Fax Number | 7319278603 |
| Mailing Telephone | 7314233020 |
| Mailing Fax Number | 7319278603 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TONY R EMISON (DIRECTOR) |
| Authorized Official Telephone | 7314233020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | TN015749RE | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS-BLUE SHIELD | 3087941 | 01 |
| TN | 4448133 | 05 | |
| ATLC | 5607 | 01 |
| Other Name | Type Code |
|---|---|
| Jackson Madison County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265700637 | Jackson Madison County Regional Health Department | Clinic/Center | 804 N Parkway, Jackson, TN 38305-3058 | 2011-12-13 |
| Street Address |
804 NORTH PARKWAY |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3058 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024747 | Second Chance Outreach Learning Center | Public Health or Welfare | 4807 N State St Ste 407, Jackson, MS 39206-4826 | 2020-02-07 |
| 1285155150 | Helping Hands of Middle & West Tennessee | Public Health or Welfare | 1408 N Highland Ave Ste 100, Jackson, TN 38301-3450 | 2017-06-30 |
| 1184152233 | Tier-3 Solutions, Inc. | Public Health or Welfare | 5255 Keele St Ste C, Jackson, MS 39206-4381 | 2017-06-01 |
| 1366853004 | Mississippi State Department of Health | Public Health or Welfare | 3276 Lynch St, Jackson, MS 39209-7205 | 2014-05-15 |
| 1992047278 | Burning Bush Youth & Family Intervention Center, Inc. | Public Health or Welfare | 144 Brookwood Ave, Jackson, GA 30233-1403 | 2013-03-25 |
| 1114222379 | State of Tennessee | Public Health or Welfare | 295 Summar Drive, Jackson, TN 38301 | 2011-01-20 |
| 1881890424 | Northampton County Dss | Public Health or Welfare | 9467 Nc 305 Hwy., Jackson, NC 27845 | 2007-06-21 |
| 1770637969 | Breathitt County Health Department | Public Health or Welfare | 955 Hwy. 30 West, Jackson, KY 41339-1000 | 2007-01-23 |
| 1265582415 | West Tennessee Regional Health Office Children Special Services | Public Health or Welfare | 295 Summar Ave, Jackson, TN 38301 | 2007-01-11 |
| 1376606582 | Mississipp State Department of Health | Public Health or Welfare | 3156 Lawson Street, Jackson, MS 39213 | 2006-12-18 |
| Find all providers in JACKSON | ||||
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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.