Methodist Le Bonheur Community Outreach
NPI 1174872139 · Pediatrics Physician · Jackson, TN
Methodist Le Bonheur Community Outreach is a Pediatrics Physician organization in Jackson, TN (NPI 1174872139).
Provider details
- NPI number
- 1174872139
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pam Burnett, Manager of Operations(731) 984-9963
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-09-06
- Last updated
- 2019-08-19
Frequently asked questions
- What is Methodist Le Bonheur Community Outreach's NPI number?
- Methodist Le Bonheur Community Outreach's National Provider Identifier (NPI) is 1174872139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Methodist Le Bonheur Community Outreach?
- Methodist Le Bonheur Community Outreach is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Methodist Le Bonheur Community Outreach located?
- Methodist Le Bonheur Community Outreach's practice location on file with NPPES is 77 Stonebridge Blvd, Jackson, TN 38305-2165.
- What is Methodist Le Bonheur Community Outreach's phone number?
- The practice phone number listed in the NPPES registry for Methodist Le Bonheur Community Outreach is (901) 287-5961.
- Who is the authorized official for Methodist Le Bonheur Community Outreach?
- The authorized official listed on Methodist Le Bonheur Community Outreach's NPPES record is Pam Burnett, Manager of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Methodist Le Bonheur Community Outreach's NPI active?
- Yes — Methodist Le Bonheur Community Outreach's NPI (1174872139) is active in the NPPES registry as of the last update on 2019-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.