Executive Outcomes PC
NPI 1821352808 · Internal Medicine Physician · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Outcomes PC is a Internal Medicine Physician organization in Jackson, TN (NPI 1821352808).
Provider details
- NPI number
- 1821352808
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monico Banez, Owner(731) 234-5717
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
13 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
- 2012-06-25
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Executive Outcomes PC's NPI number?
- Executive Outcomes PC's National Provider Identifier (NPI) is 1821352808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Outcomes PC?
- Executive Outcomes PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Executive Outcomes PC located?
- Executive Outcomes PC's practice location on file with NPPES is 379 Hospital Blvd, Jackson, TN 38305-2080.
- What is Executive Outcomes PC's phone number?
- The practice phone number listed in the NPPES registry for Executive Outcomes PC is (731) 661-6330.
- Does Executive Outcomes PC accept Medicare?
- Executive Outcomes 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 Executive Outcomes PC?
- The authorized official listed on Executive Outcomes PC's NPPES record is Monico Banez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Outcomes PC's NPI active?
- Yes — Executive Outcomes PC's NPI (1821352808) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.