Active NPI
Medical Specialty Clinic P.C.
- Family Medicine Physician
- Jackson, TN
National Provider Identifier
1104877703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29728
- Legal business name
- MEDICAL SPECIALTY CLINIC P.C.
- Practice address
- 27 Medical Center Dr
Jackson, TN 38301-3949 - Phone
- (731) 424-1001
- Fax
- (731) 424-0774
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandy V Morris
- Title
- Practice Administrator
- Phone
- (731) 424-1001
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | TN | ||
| Family Medicine Physician | 207Q00000X | 29728 | TN | Primary |
| Cardiovascular Disease Physician | 207RC0000X | TN | ||
| Gastroenterology Physician | 207RG0100X | TN | ||
| Hematology & Oncology Physician | 207RH0003X | TN | ||
| Pulmonary Disease Physician | 207RP1001X | TN | ||
| Nuclear Imaging & Therapy Physician | 207UN0902X | TN |
Addresses
Primary practice location
27 Medical Center Dr
Jackson, TN 38301-3949
Mailing address
27 Medical Center Dr
Jackson, TN 38301-3949
Phone (731) 424-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3379521 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
720 W Forest Ave
Jackson, TN 38301
Phone (731) 541-5087
668 Lexington Ave
Jackson, TN 38301
Phone (431) 423-8542
27 Medical Center Dr
Jackson, TN 38301
Phone (901) 424-1001
300 Hospital Cir
Ste 104
Paris, TN 38242
Phone (731) 642-1220
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Jackson, TN
- NPI 1356393078
-
- Dermatology Physician
- Jackson, TN
- NPI 1295788461
-
- Hematology & Oncology Physician
- Jackson, TN
- NPI 1053365809
-
- Dermatology Physician
- Jackson, TN
- NPI 1720039423
-
- Hematology & Oncology Physician
- Jackson, TN
- NPI 1639270440
-
- Gastroenterology Physician
- Santa Fe, NM
- NPI 1609828326
-
- Gastroenterology Physician
- Jacksonville Beach, FL
- NPI 1053362723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104877703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MEDICAL CENTER DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013949",
"telephone_number": "731-424-1001",
"fax_number": "731-424-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 MEDICAL CENTER DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013949",
"telephone_number": "731-424-1001",
"fax_number": "731-424-0774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SPECIALTY CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "SANDY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "731-424-1001",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "29728",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3379521",
"state": "TN"
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.