Amen Clinic PC
NPI 1407121551 · Family Medicine Physician · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amen Clinic PC is a Family Medicine Physician organization in Jackson, TN (NPI 1407121551).
Provider details
- NPI number
- 1407121551
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ezekiel Adetunji, Owner(731) 300-3168
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-03-21
- Last updated
- 2018-06-27
Frequently asked questions
- What is Amen Clinic PC's NPI number?
- Amen Clinic PC's National Provider Identifier (NPI) is 1407121551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amen Clinic PC?
- Amen Clinic PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Amen Clinic PC located?
- Amen Clinic PC's practice location on file with NPPES is 150 Murray Guard Dr, Jackson, TN 38305.
- What is Amen Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Amen Clinic PC is (731) 300-3168.
- Does Amen Clinic PC accept Medicare?
- Amen Clinic PC 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 Amen Clinic PC?
- The authorized official listed on Amen Clinic PC's NPPES record is Ezekiel Adetunji, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amen Clinic PC's NPI active?
- Yes — Amen Clinic PC's NPI (1407121551) is active in the NPPES registry as of the last update on 2018-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.