Primary Care - South Limited
NPI 1366928087 · Primary Care Clinic/Center · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Primary Care - South Limited is a Primary Care Clinic/Center organization in Jackson, TN (NPI 1366928087).
Provider details
- NPI number
- 1366928087
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Malcom Ingram, Owner(731) 427-0470
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
7 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
Other names (DBA / former)
- Former legal business name
- Primary Care South LLC
Registry dates
- Enumerated
- 2018-07-16
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Frequently asked questions
- What is Primary Care - South Limited's NPI number?
- Primary Care - South Limited's National Provider Identifier (NPI) is 1366928087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care - South Limited?
- Primary Care - South Limited is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Primary Care - South Limited located?
- Primary Care - South Limited's practice location on file with NPPES is 1385 South Highland Ave, Jackson, TN 38301.
- What is Primary Care - South Limited's phone number?
- The practice phone number listed in the NPPES registry for Primary Care - South Limited is (731) 427-0470.
- Does Primary Care - South Limited accept Medicare?
- Primary Care - South Limited 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 Primary Care - South Limited?
- The authorized official listed on Primary Care - South Limited's NPPES record is Malcom Ingram, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care - South Limited's NPI active?
- Yes — Primary Care - South Limited's NPI (1366928087) is active in the NPPES registry as of the last update on 2024-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.