Internal Medicine Clinic of Jackson PLLC
NPI 1174773428 · Primary Care Clinic/Center · Jackson, TN
Internal Medicine Clinic of Jackson PLLC is a Primary Care Clinic/Center organization in Jackson, TN (NPI 1174773428).
Provider details
- NPI number
- 1174773428
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Dunnebacke, PLLC Member(731) 668-9031
- License
- MD011299 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-09-23
- Last updated
- 2008-09-25
Frequently asked questions
- What is Internal Medicine Clinic of Jackson PLLC's NPI number?
- Internal Medicine Clinic of Jackson PLLC's National Provider Identifier (NPI) is 1174773428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Internal Medicine Clinic of Jackson PLLC?
- Internal Medicine Clinic of Jackson PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Internal Medicine Clinic of Jackson PLLC located?
- Internal Medicine Clinic of Jackson PLLC's practice location on file with NPPES is 587 Skyline Dr, Jackson, TN 38301-3938.
- What is Internal Medicine Clinic of Jackson PLLC's phone number?
- The practice phone number listed in the NPPES registry for Internal Medicine Clinic of Jackson PLLC is (731) 424-8922.
- Who is the authorized official for Internal Medicine Clinic of Jackson PLLC?
- The authorized official listed on Internal Medicine Clinic of Jackson PLLC's NPPES record is Robert Dunnebacke, PLLC Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Internal Medicine Clinic of Jackson PLLC's NPI active?
- Yes — Internal Medicine Clinic of Jackson PLLC's NPI (1174773428) is active in the NPPES registry as of the last update on 2008-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.