Jackson Clinic PA
NPI 1285629386 · Internal Medicine Physician · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Clinic PA is a Internal Medicine Physician organization in Jackson, TN (NPI 1285629386).
Provider details
- NPI number
- 1285629386
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Allen, C.e.o.(731) 422-0203
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
13 documented practice locations
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
Additional practice locations (12)
- 622 W Market StBolivar, TN 38008-2201Phone: (731) 422-0213
- 3568 Chere Carol RdHumboldt, TN 38343-3639Phone: (731) 422-0213
- 22 2nd AveHuntingdon, TN 38344-3806Phone: (731) 422-0213Fax: (731) 868-4766
- 68 Exeter RdJackson, TN 38305-1829Phone: (731) 422-0213Fax: (731) 868-4871
- 2859 Highway 45 BypJackson, TN 38305-3618Phone: (731) 422-0213
- 145 Innovation DrJackson, TN 38305-3019Phone: (731) 422-0213
- 619 Skyline DrJackson, TN 38301-3903Phone: (731) 422-0213Fax: (731) 882-5052
- 1863 S Highland AveJackson, TN 38301-7799Phone: (731) 422-0213
- 87 Murray Guard Dr Ste BJackson, TN 38305-3775Phone: (731) 422-0213
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Jackson Clinic PA's NPI number?
- Jackson Clinic PA's National Provider Identifier (NPI) is 1285629386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Clinic PA?
- Jackson Clinic PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Clinic PA located?
- Jackson Clinic PA's practice location on file with NPPES is 2863 Highway 45 Byp, Jackson, TN 38305-3618.
- What is Jackson Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Jackson Clinic PA is (731) 664-1375.
- Does Jackson Clinic PA accept Medicare?
- Jackson Clinic PA 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 Jackson Clinic PA?
- The authorized official listed on Jackson Clinic PA's NPPES record is Mark Allen, C.e.o.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Clinic PA's NPI active?
- Yes — Jackson Clinic PA's NPI (1285629386) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.