Organization Active NPI

Highlands Vasectomy Clinic

  • Surgery Physician
  • Bristol, TN
National Provider Identifier
1093561748
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HIGHLANDS VASECTOMY CLINIC
Practice address
981 Volunteer Pkwy Ste B
Bristol, TN 37620-4284
Phone
(423) 573-8100
Fax
(423) 844-6626
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Jessica N. McCracken, DONPI 1972843563
Title
Physician
Phone
(423) 797-1648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

981 Volunteer Pkwy Ste B
Bristol, TN 37620-4284

Mailing address

981 Volunteer Pkwy Ste B
Bristol, TN 37620-4284
Phone (423) 573-8100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1093561748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 VOLUNTEER PKWY STE B",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204284",
            "telephone_number": "423-573-8100",
            "fax_number": "423-844-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 VOLUNTEER PKWY STE B",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204284",
            "telephone_number": "423-573-8100",
            "fax_number": "423-844-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS VASECTOMY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-797-1648",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.