Podiatry Clinic of Jackson PLLC
NPI 1033560826 · Primary Podiatric Medicine Podiatrist · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Podiatry Clinic of Jackson PLLC is a Primary Podiatric Medicine Podiatrist organization in Jackson, TN (NPI 1033560826).
Provider details
- NPI number
- 1033560826
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Judy Holt, Office Adm/Office Mgr(731) 427-5581
- License
- DPM213 (TN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-23
- Last updated
- 2016-10-04
Frequently asked questions
- What is Podiatry Clinic of Jackson PLLC's NPI number?
- Podiatry Clinic of Jackson PLLC's National Provider Identifier (NPI) is 1033560826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Podiatry Clinic of Jackson PLLC?
- Podiatry Clinic of Jackson PLLC is classified in the NPPES registry as Primary Podiatric Medicine Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Podiatry Clinic of Jackson PLLC located?
- Podiatry Clinic of Jackson PLLC's practice location on file with NPPES is 657 Skyline Dr, Jackson, TN 38301-3903.
- What is Podiatry Clinic of Jackson PLLC's phone number?
- The practice phone number listed in the NPPES registry for Podiatry Clinic of Jackson PLLC is (731) 427-5581.
- Does Podiatry Clinic of Jackson PLLC accept Medicare?
- Podiatry Clinic of Jackson PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Podiatry Clinic of Jackson PLLC?
- The authorized official listed on Podiatry Clinic of Jackson PLLC's NPPES record is Judy Holt, Office Adm/Office Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Podiatry Clinic of Jackson PLLC's NPI active?
- Yes — Podiatry Clinic of Jackson PLLC's NPI (1033560826) is active in the NPPES registry as of the last update on 2016-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.