Jackson Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JACKSON CLINIC PA

Practice address

2863 Highway 45 Byp
Jackson, TN 38305-3618

Phone

(731) 664-1375

Fax

(731) 664-1378

NPI assigned

Sep 14, 2005

Last updated

Sep 10, 2025By 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

Mark Allen

Title

C.E.O.

Phone

(731) 422-0203

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jackson Clinic PA

  dba Jackson Clinc PA DME

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1689443038

  2668376872

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: akacyeadeck@jcpa.allscriptsdirect.net
• Direct secure messaging: alexandriahearn@jcpa.allscriptsdirect.net
• Direct secure messaging: alicewaldrop@jcpa.allscriptsdirect.net
• Direct secure messaging: amandareiter@jcpa.allscriptsdirect.net
• Direct secure messaging: aminaik@jcpa.allscriptsdirect.net
• Direct secure messaging: amylawrence@jcpa.allscriptsdirect.net
• Direct secure messaging: annaburgess@jcpa.allscriptsdirect.net
• Direct secure messaging: annaperry@jcpa.allscriptsdirect.net
• Direct secure messaging: annayounger@jcpa.allscriptsdirect.net
• Direct secure messaging: anthonysneed@jcpa.allscriptsdirect.net
• Direct secure messaging: antwanrobinson@jcpa.allscriptsdirect.net
• Direct secure messaging: ashadafreshwater@jcpa.allscriptsdirect.net
• Direct secure messaging: ashleyattaway@jcpa.allscriptsdirect.net
• Direct secure messaging: auroralewis@jcpa.allscriptsdirect.net
• Direct secure messaging: avalovelace@jcpa.allscriptsdirect.net
• Direct secure messaging: avamcpeake@jcpa.allscriptsdirect.net
• Direct secure messaging: bethanywardlow@jcpa.allscriptsdirect.net
• Direct secure messaging: brendacarr@jcpa.allscriptsdirect.net
• Direct secure messaging: bryanborgfeld@jcpa.allscriptsdirect.net
• Direct secure messaging: caseyzelus@jcpa.allscriptsdirect.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Christian Care Center of Milan, LLC

  dba Christian Care Center of Medina

  • Nursing Facility/Intermediate Care Facility
  • Medina, TN
  • NPI 1619629250

  Adp of the SNF

  CMS ownership

Practitioners 249

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.

• Troy D Adkins, APN

  • Nurse Practitioner
  • Jackson, TN
  • NPI 1396250940
  Medicare reassignment Care Compare group NPD
• William Bradford Adkins, M.D.

  • Obstetrics & Gynecology Physician
  • Jackson, TN
  • NPI 1386630911
  Medicare reassignment Care Compare group NPD
• Javeria Ahmed, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jackson, TN
  • NPI 1457570475
  Medicare reassignment Care Compare group NPD
• Siddique Akbar, MD

  • Nephrology Physician
  • Jackson, TN
  • NPI 1295290328
  Medicare reassignment Care Compare group NPD
• Mary Elisabeth Neal Anderson, MD

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1386639136
  Medicare reassignment Care Compare group NPD
• Worthy W Arrington, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1659797702
  Medicare reassignment Care Compare group NPD
• Marshall Denny Banks, M.D.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1104811249
  Medicare reassignment Care Compare group NPD
• Judith Baskin, A.P.R.N.

  • Nurse Practitioner
  • Jackson, TN
  • NPI 1558330670
  Medicare reassignment Care Compare group NPD
• Toni Nicole Shearon Beck, NP

  • Nurse Practitioner
  • Jackson, TN
  • NPI 1649932294
  Medicare reassignment Care Compare group NPD
• Rachel Duncan Belew, NP

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1417672593
  Medicare reassignment Care Compare group NPD
• Laura Elizabeth Blackwell

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1235700741
  Medicare reassignment Care Compare group NPD
• Bryan James Borgfeld, M.D.

  • Surgery Physician
  • Jackson, TN
  • NPI 1407948904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1285629386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-423-8697",
            "fax_number": "731-422-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 HIGHWAY 45 BYP",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053618",
            "telephone_number": "731-664-1375",
            "fax_number": "731-664-1378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4039 Highland St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383583483",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Garrett Dr",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "TN",
            "postal_code": "383559641",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "fax_number": "731-462-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 W Market St",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380082201",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2859 Highway 45 Byp",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053618",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053019",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Murray Guard Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053775",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1863 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383017799",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 EXETER RD",
            "address_purpose": "LOCATION",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051829",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "fax_number": "731-868-4871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 COMMONS DR",
            "address_purpose": "LOCATION",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373882",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383443806",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "fax_number": "731-868-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013903",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "fax_number": "731-882-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3568 Chere Carol Rd",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383433639",
            "country_code": "US",
            "telephone_number": "731-422-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "731-422-0203"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370007",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Anesthesia & Perioperative Consultants P C
• Jackson Anesthesia and Perioperative Consultants
• Jackson Anesthesiology Group, PLLC
• Jackson Area Council on Alcoholism and Drug Dependency
• Jackson Center for Independent Living
• Jackson Clinic PA (Jackson Clinic PA Laboratory)
• Jackson Clinic PA (Jackson Clinc PA DME)
• Jackson Clinic Pharmacy Inc (Jackson Clinic Pharmacy)
• Jackson Clinic Pharmacy Inc (Jackson Clinic Innovation Park Pharmacy)
• Jackson Clinic Pharmacy Inc (Jackson North Clinic Pharmacy)

• Internal Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.