Jackson Clinic PA
NPI 1689443038 · Durable Medical Equipment & Medical Supplies · Jackson, TN
Enrolled with Medicare as Dme Supplier - Physician - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Clinic PA is a Durable Medical Equipment & Medical Supplies organization in Jackson, TN (NPI 1689443038).
Provider details
- NPI number
- 1689443038
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Jackson Clinic PA
- Organization subpart
- Yes
- Authorized official
- Mark Allen, C.e.o.(731) 422-0330
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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)
- Doing business as
- Jackson Clinc PA Dme
Registry dates
- Enumerated
- 2023-12-27
- Last updated
- 2023-12-27
- Certified
- 2023-12-27
Frequently asked questions
- What is Jackson Clinic PA's NPI number?
- Jackson Clinic PA's National Provider Identifier (NPI) is 1689443038, 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 Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Jackson Clinic PA located?
- Jackson Clinic PA's practice location on file with NPPES is 145 Innovation Dr, Jackson, TN 38305-3019.
- What is Jackson Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Jackson Clinic PA is (731) 422-0213.
- 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 (1689443038) is active in the NPPES registry as of the last update on 2023-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.