OrganizationActive
Jackson Clinic PA
NPI 1376647545 · Clinical Medical Laboratory · Jackson, TN
Jackson Clinic PA is a Clinical Medical Laboratory organization in Jackson, TN (NPI 1376647545).
Provider details
- NPI number
- 1376647545
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Carl Rudd, Administrator(731) 422-0330
- License
- 0000003266 (TN)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
616 W Forest Ave
Jackson, TN 38301-3902
Phone: (731) 422-0330
Fax: (731) 422-0220
Street-level locationGet directions
Mailing address
Po Box 400
Jackson, TN 38302-0400
Other names (DBA / former)
- Doing business as
- Jackson Clinic PA Laboratory
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jackson Clinic PA's NPI number?
- Jackson Clinic PA's National Provider Identifier (NPI) is 1376647545, 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 Clinical Medical Laboratory (Laboratories).
- Where is Jackson Clinic PA located?
- Jackson Clinic PA's practice location on file with NPPES is 616 W Forest Ave, Jackson, TN 38301-3902.
- What is Jackson Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Jackson Clinic PA is (731) 422-0330.
- Who is the authorized official for Jackson Clinic PA?
- The authorized official listed on Jackson Clinic PA's NPPES record is Carl Rudd, Administrator. 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 (1376647545) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.