Active NPI
Milton O Medeiros, MD
- Specialist
- Jackson, TN
National Provider Identifier
1366410599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7727
- Practice address
- 3035 N Highland Ave
Jackson, TN 38305-3411 - Phone
- (731) 664-0899
- Fax
- (731) 664-0946
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7727 | TN | Primary |
Addresses
Primary practice location
3035 N Highland Ave
Jackson, TN 38305-3411
Mailing address
3035 N Highland Ave
Jackson, TN 38305-3411
Phone (731) 664-0899
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3827978 | Medicaid | TN | |
| 000000034150 | Other | TN | TLC NO |
| P00242733 | Other | TN | RAILROAD MEDICARE NO |
| 4105401 | Other | TN | BCBS OF TENNESSEE |
| 000000165679 | Other | TN | UNISON NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7727 | TN | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Physicians Group PC | Past | Accepting new patients | |
| Emg Clinics of Tennessee PLLC | Past | Accepting new patients | |
| BMG Family Physicians Group Foundation, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1578804142
-
- Physical Medicine & Rehabilitation Physician
- Jackson, TN
- NPI 1962597492
-
- Family Medicine Physician
- Memphis, TN
- NPI 1457344145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366410599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053411",
"telephone_number": "731-664-0899",
"fax_number": "731-664-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053411",
"telephone_number": "731-664-0899",
"fax_number": "731-664-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "MILTON",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "7727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3827978",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC NO",
"identifier": "000000034150",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NO",
"identifier": "P00242733",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "4105401",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON NO",
"identifier": "000000165679",
"state": "TN"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.