Individual provider Active NPI

Robert Eric Jackson, M.D.

  • Internal Medicine Physician
  • Lawrenceburg, TN
National Provider Identifier
1144305152
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50448 Issued in TN
Practice address
374 Brink St
Lawrenceburg, TN 38464-3280
Phone
(931) 762-6548
NPI assigned
Oct 26, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50448 TN Primary

Addresses

Primary practice location

374 Brink St
Lawrenceburg, TN 38464-3280

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (239) 262-3584

Other practice location 1

3443 Dickerson Pike Ste 300
Nashville, TN 37207-2523
Phone (615) 549-7073 ext. 3

Other practice location 2

291 Indian Lake Blvd
Hendersonville, TN 37075-3653
Phone (615) 265-5008

Other practice location 3

2010 Church St #526
Nashville, TN 37203-3653
Phone (615) 549-7073

Other identifiers 1

IdentifierTypeStateIssuer
362126638AMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 6152655015 Health Information Exchange (HIE)
Other URL nashville Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130920000128 TN Practitioner - Internal Medicine 9133101744 Reassigns benefits to 6 organizations
I20260401000482 KY Practitioner - Internal Medicine 9133101744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Tennessee PCGroup PAC ID 5395924823, 30 clinicians

Practice addresses (Care Compare)

2070 Wall St
Spring Hill, TN 37174-4208
Phone (615) 567-8965

291 Indian Lake Blvd
Hendersonville, TN 37075-6270
Phone (615) 265-5008

5826 Nolensville Pike
Nashville, TN 37211-6502
Phone (615) 760-1946

985 Industrial Blvd
Smyrna, TN 37167-6815
Phone (615) 220-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.42 of 100Reported as group
Quality
60.87
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50448TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC CurrentSince May 13, 2016 Accepting new patients
Riverside Spine & Physical Medicine, PC Current Accepting new patients
Theoria Medical Internal Medicine CurrentSince Dec 10, 2023 Accepting new patients
Renuven Aco PLLC Internal Medicine CurrentSince Jun 26, 2025 Accepting new patients
Glutality Provider Group, P.a. Family Medicine CurrentSince Dec 10, 2020 Accepting new patients
Integrated Health Transitions, PLLC Family Medicine CurrentSince May 28, 2025 Accepting new patients
Afc Physicians of Tennessee, PC Family Medicine CurrentSince May 13, 2016 Accepting new patients
Afc Physicians of Tennessee, PC Current Accepting new patients
Neuro Resource PC PastSince Mar 1, 2021 Accepting new patients
NHC Healthcare-Scott LLC Past Accepting new patients
Tennessee State Veterans Home Board Past Accepting new patients
National Health Corporation Past Accepting new patients
Tennessee State Veterans Home Board Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Tennessee State Veterans Home Board Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Renuven Health Partners of Georgia PC Internal Medicine Past Accepting new patients
Glenn H Booth MD Internal Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Dickson Operator LLC Past Accepting new patients

Locations

5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560

109 Homewood Blvd
Glasgow, KY 42141
Phone (270) 651-6126

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

5010 Trotwood Ave
Columbia, TN 38401
Phone (931) 388-1615

291 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 265-5008

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

374 Brink St
Lawrenceburg, TN 38464
Phone (931) 762-6548

2350 Buffalo Rd
Lawrenceburg, TN 38464

2615 Medical Center Pkwy
Ste 1560
Murfreesboro, TN 37129
Phone (615) 525-6181

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
W.D. Bill Manning Tennessee State Veterans HomeHumboldt, TN, CCN 445366 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 20, 2024
Apr 10, 2024
NHC Healthcare, LawrenceburgLawrenceburg, TN, CCN 445180 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 24, 2025
Jan 20, 2026
Tennessee State Veterans Home-ClevelandCleveland, TN, CCN 445543 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 21, 2024
Jun 21, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1144305152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "239-262-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 BRINK ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643280",
            "telephone_number": "931-762-6548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 Dickerson Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072523",
            "country_code": "US",
            "telephone_number": "615-549-7073 x3",
            "fax_number": "615-534-4805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Indian Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370753653",
            "country_code": "US",
            "telephone_number": "615-265-5008",
            "fax_number": "615-265-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Church St #526",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372033653",
            "country_code": "US",
            "telephone_number": "615-549-7073",
            "fax_number": "615-523-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "50448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362126638A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6152655015",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "2010 Church St #526",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372033653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nashville",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "2010 Church St Ste 526",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372032026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.