OrganizationActive
Primary Care Clinic of Jackson
NPI 1609309855 · Clinic/Center · Jackson, TN
Primary Care Clinic of Jackson is a Clinic/Center organization in Jackson, TN (NPI 1609309855).
Provider details
- NPI number
- 1609309855
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathy O'Connor-Wray, Fnp, Owner(731) 265-6197
- License
- 000896897 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
54 Exeter Rd Ste B
Jackson, TN 38305-1985
Phone: (731) 935-9463
Street-level locationGet directions
Mailing address
8 Stonebridge Blvd Ste M
Jackson, TN 38305-2178
Additional practice locations (1)
- 8 Stonebridge Blvd Ste MJackson, TN 38305-2178Phone: (731) 265-6197Fax: (731) 265-6198
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Frequently asked questions
- What is Primary Care Clinic of Jackson's NPI number?
- Primary Care Clinic of Jackson's National Provider Identifier (NPI) is 1609309855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care Clinic of Jackson?
- Primary Care Clinic of Jackson is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Primary Care Clinic of Jackson located?
- Primary Care Clinic of Jackson's practice location on file with NPPES is 54 Exeter Rd Ste B, Jackson, TN 38305-1985.
- What is Primary Care Clinic of Jackson's phone number?
- The practice phone number listed in the NPPES registry for Primary Care Clinic of Jackson is (731) 935-9463.
- Who is the authorized official for Primary Care Clinic of Jackson?
- The authorized official listed on Primary Care Clinic of Jackson's NPPES record is Kathy O'Connor-Wray, Fnp, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care Clinic of Jackson's NPI active?
- Yes — Primary Care Clinic of Jackson's NPI (1609309855) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.