Cardio Care PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

25230 Issued in TN

Legal business name

CARDIO CARE PC

Practice address

168 W University Pkwy Ste C
Jackson, TN 38305-1624

Phone

(731) 512-3812

Fax

(731) 512-3813

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mabbu Jayakumar, MDNPI 1063425734

Title

Owner

Phone

(731) 512-3812

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mabbu Jayakumar, MD

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1063425734
  Authorized official Same address or phone
• Christina Jorge

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1609337575
  NPD (past)
• Sarah Louise Bivens, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1386653251

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1245404433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12484",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080143",
            "telephone_number": "731-512-3812",
            "fax_number": "731-512-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051624",
            "telephone_number": "731-512-3812",
            "fax_number": "731-512-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "JAYAKUMAR",
        "authorized_official_first_name": "MABBU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-512-3812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "25230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Cantrell, B.S.
• Antonio Chantill Capps, MD
• Christopher Capps, CRISIS CLINICIAN
• Glynn Edward Carden, PHARMACIST
• Cardiac Anesthesia Group
• Cardioption Company
• Cardiothoracic Surgery Center, P.L.C.
• Cardiovascular Clinic of West TN PC (Cardiovascular Clinic of West Tennessee P.C.)
• Care & Cover Homecare PLLC
• Caring Hands Developmental Services Inc.

• Legal Medicine in Jackson, TN
• Providers in Jackson, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.