Ruth Jackson, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20545 Issued in TN

Practice address

5200 Park Ave
Memphis, TN 38119-3505

Phone

(901) 383-7078

NPI assigned

Feb 1, 2016

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  KY

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461
  Medicare reassignment NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241
  Medicare reassignment NPD
• Option Care Infusion Suites, LLC

  • Infusion Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1508695552
  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Methodist Healthcare Community Care Associates

  dba MHCCA Health Screening

  • Corporate Health Clinic/Center
  • Memphis, TN
  • NPI 1699941195
  NPD

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1285092593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 BLOOMSBURY AVE",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160198",
            "telephone_number": "901-246-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193505",
            "telephone_number": "901-383-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Gunbarrel Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213192",
            "country_code": "US",
            "telephone_number": "800-775-5484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Clinton Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379123475",
            "country_code": "US",
            "telephone_number": "888-211-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RUTH",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otis Jackson Jr.
• Pamela A Jackson
• Rasheedah Jackson
• Regina Rodgers Jackson, FNP
• Ricky Jackson
• Scott Christian Jackson
• Shandrika Jackson, RN
• Shironda D Jackson, LBSW
• Tammara Jackson, DPT
• Tasheka L Jackson

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.