Organization Active NPI

Emg Specialty Clinics, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
National Provider Identifier
1043242548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EMG SPECIALTY CLINICS, P.C.
Practice address
3363 N Highland Ave
Jackson, TN 38305-3487
Phone
(731) 668-9899
Fax
(731) 660-2121
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Remy A Valdivia, MDNPI 1457383952
Title
Owner
Phone
(731) 668-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3363 N Highland Ave
Jackson, TN 38305-3487

Mailing address

PO Box 419
Medina, TN 38355-0419
Phone (731) 668-9899

National Provider Directory

National Provider Directory

Locations

207 Stonebridge Blvd
Ste B
Jackson, TN 38305
Phone (731) 664-7949

29 N Star Dr
Ste C
Jackson, TN 38305
Phone (731) 664-7949

337 W Church St
Lexington, TN 38351
Phone (731) 967-3788

4039 Highland St
Milan, TN 38358
Phone (731) 660-8755

1109 E Reelfoot Ave
Ste K
Union City, TN 38261
Phone (731) 599-9909

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043242548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383550419",
            "telephone_number": "731-668-9899",
            "fax_number": "731-660-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053487",
            "telephone_number": "731-668-9899",
            "fax_number": "731-660-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMG SPECIALTY CLINICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "REMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-668-9899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.