Jackson Madison General Hospital
Organization Active NPI Registered Dietitian · Jackson, TN
NPI 1023355245 · NPPES record last updated Oct 30, 2025
Key facts
- NPI
- 1023355245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- JACKSON MADISON GENERAL HOSPITAL
- Practice address
- 101 Jackson Walk Plaza
Jackson, TN 38301 - Phone
- (731) 427-7048
- NPI assigned
- Jan 8, 2013
- Organization subpart
- No
Authorized official
- Name
- Nicole Hancock
- Title
- Dietitian
- Phone
- (731) 541-6564
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Jere Hammond MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist |
133NN1002X | |||
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
101 Jackson Walk Plaza
Jackson, TN 38301
Mailing address
620 Skyline Dr
Jackson, TN 38301-3923
Other providers in Jackson, TN
- Jackson Madison County General Hospital
- Jackson Madison County General Hospital
- Jackson Madison County General Hospital
- Jackson Madison County Regional Health Department
- Jackson Madison County Regional Health Department
- Jackson Madison Surgery Center LLC
- Jackson Medical Services
- Jackson OB-GYN Associates, P.C.
- Jackson Ophthalmology ASC LLC
- Jackson Pathology Group a Professional Corporation
All providers in Jackson, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.