Charolette Jackson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45083 Issued in TN

Practice address

6644 Summer Knoll Cir
Bartlett, TN 38134-2875

Phone

(901) 266-4112

Fax

(901) 266-4113

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Decatur County General Hospital

  • General Acute Care Hospital
  • Parsons, TN
  • NPI 1104804566
  NPD (past)
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1154446532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-266-4112",
            "fax_number": "901-266-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-266-4112",
            "fax_number": "901-266-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHAROLETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "45083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Ing, BSN, RN
• Kata Gregg Ingram, PT, DPT
• Innovative Diagnostic Solutions
• Wajih Istanbouli, M.D.
• Brittney Nicole Jackson, LPC-MHSP
• Dhakiya Jackson, APRN
• Nissa Nicole Jacobson Gerlosky
• Kayla Renee James, DPT
• Sheena James
• Muhammad Janjua, M.D.

• Family Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.