Organization Active NPI

Workcare Resources Inc

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1285684837
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0268193 Issued in TN
Legal business name
WORKCARE RESOURCES INC
Practice address
49 Old Hickory Blvd
Jackson, TN 38305
Phone
(731) 664-4414
Fax
(731) 664-2804
NPI assigned
May 12, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Lesa Grace
Title
President
Phone
(731) 664-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0268193 TN Primary

Addresses

Primary practice location

49 Old Hickory Blvd
Jackson, TN 38305

Mailing address

49 Old Hickory Blvd
Jackson, TN 38305
Phone (731) 664-4414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000322 TN Part B Supplier - Clinic/Group Practice 8022012913 Receives reassigned benefits from 5 practitioners
Practice locations: Jackson, TN; Dyersburg, TN

National Provider Directory

National Provider Directory

Locations

1355 Flowering Dogwood Ln
Dyersburg, TN 38024
Phone (731) 286-1400

1999 Saint John Ave
Dyersburg, TN 38024
Phone (731) 286-0233

49 Old Hickory Blvd
Jackson, TN 38305
Phone (731) 664-4414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17778/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1285684837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OLD HICKORY BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-664-4414",
            "fax_number": "731-664-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD HICKORY BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-664-4414",
            "fax_number": "731-664-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKCARE RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-664-4414"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0268193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.