Madison Clinic Corp Dba Jackson Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38747 Issued in TN

Legal business name

MADISON CLINIC CORP DBA JACKSON PEDIATRIC CENTER

Practice address

37 Sandstone Cir
Jackson, TN 38305-2073

Phone

(731) 664-9928

Fax

(731) 664-9749

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Elizabeth Chambers, MD

Title

Physician

Phone

(731) 664-9928

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurence Martin, MD

  • Pediatrics Physician
  • Fort Defiance, AZ
  • NPI 1871597682
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366436669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SANDSTONE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052073",
            "telephone_number": "731-664-9928",
            "fax_number": "731-664-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SANDSTONE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052073",
            "telephone_number": "731-664-9928",
            "fax_number": "731-664-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CLINIC CORP DBA JACKSON PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "731-664-9928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "38747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Narapareddy MD PC
• Calretha Mabry
• Dunwel Macallister, MACC-A
• Rickie Madden, CASE MANAGER
• Madison Clinic Corp
• Madison Fam Walk in Clinic Limited
• Madison Family Practice
• Madison Haywood County Developmental Services, Inc
• Madison Kidney Clinic
• Madison Physician Group Inc

• Pediatrics Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.