Jackson Regional Womens Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JACKSON REGIONAL WOMENS CENTER

Practice address

72 Physicians Dr
Jackson, TN 38305-2070

Phone

(731) 668-4455

Fax

(731) 668-9007

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda J Howell

Title

Practice Administrator

Phone

(731) 668-4455

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235155276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052070",
            "telephone_number": "731-668-4455",
            "fax_number": "731-668-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052070",
            "telephone_number": "731-668-4455",
            "fax_number": "731-668-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON REGIONAL WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "731-668-4455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3706927",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson OB-GYN Associates, P.C.
• Jackson Ophthalmology ASC LLC
• Jackson Pathology Group a Professional Corporation
• Jackson Pulmonary Care, PA
• Jackson Radiology Associates PA
• Jackson Residential, LLC
• Jackson Senior Services, LLC
• Jackson Spa LLC
• Jackson Surgical Associates. PA
• Jackson Tennessee Hospital Company LLC

• All providers in Jackson, TN
• Obstetrics & Gynecology Physician in Tennessee

• 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.