Comprehensive Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31696 Issued in TN

Legal business name

COMPREHENSIVE PRIMARY CARE PLLC

Practice address

76 Capital Way
Suite C
Atoka, TN 38004-6832

Phone

(901) 840-1202

Fax

(901) 840-1204

NPI assigned

Oct 29, 2007

Last updated

Feb 7, 2013By 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. William Clay Jackson, MDNPI 1407858368

Title

Ceo

Phone

(901) 840-1202

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.

• William Clay Jackson, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Atoka, TN
  • NPI 1407858368
  Authorized official Same address or phone
• Staci T Cownover, PA-C

  • Physician Assistant
  • Atoka, TN
  • NPI 1689695595
  NPD (past)
• Ginger Lynn Gakunga, APN

  • Family Nurse Practitioner
  • Mill Valley, CA
  • NPI 1760790034
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1245419043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CAPITAL WAY",
            "address_2": "SUITE C",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380046832",
            "telephone_number": "901-840-1202",
            "fax_number": "901-840-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CAPITAL WAY",
            "address_2": "SUITE C",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380046832",
            "telephone_number": "901-840-1202",
            "fax_number": "901-840-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-840-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "31696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn B Caldwell, PT
• Cannon Chiropractic, PLLC
• Dorothy Joy Casama, MD
• Keneko T Claybon, PHARM. D.
• Comfort Solutions Sleep Services
• Staci T Cownover, PA-C
• Daniel Allen Crall Sr., PA-C
• William G. Curry, PA-C
• Mary L Davis
• Mary Grace Distretti, DPT

• Family Medicine Physician in Atoka, TN
• Providers in Atoka, 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 Feb 7, 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.