Individual provider Active NPI

Tonia L Jackson, M.D.

  • Anesthesiology Physician
  • Nashville, TN
National Provider Identifier
1235178971
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD0000037269 Issued in TN
Practice address
6444 Riverplace Dr
Nashville, TN 37221-6546
Phone
(615) 496-5383
NPI assigned
Jun 6, 2006
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD0000037269 TN Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 37269 TN

Addresses

Primary practice location

6444 Riverplace Dr
Nashville, TN 37221-6546

Mailing address

6444 Riverplace Dr
Nashville, TN 37221-6546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000109 TN Practitioner - AnesthesiologyPractitioner - Emergency Medicine 5395638944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University Medical College - NLG, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

451 Hwy 13 S
Waverly, TN 37185-2109
Phone (931) 296-4203

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000037269TNMDAnesthesiology Physician
37269TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Aug 11, 2018 Accepting new patients
Urgent & Specialty Care Clinic CurrentSince Oct 4, 2017 Accepting new patients
South Central Physicians PLLC CurrentSince Jul 9, 2020 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 11, 2018 Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC Anesthesiology PastSince Sep 1, 2005 Accepting new patients

Locations

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

451 Highway 13 S
Waverly, TN 37185
Phone (931) 296-0211

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1235178971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 RIVERPLACE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 RIVERPLACE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216546",
            "telephone_number": "615-496-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TONIA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD0000037269",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "37269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.