Organization Active NPI

Dialysis Docs a Tennessee Partnership

  • Nephrology Physician
  • Jackson, TN
National Provider Identifier
1386414449
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DIALYSIS DOCS A TENNESSEE PARTNERSHIP
Practice address
221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone
(731) 668-4337
Fax
(731) 661-0124
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Siobhan Thaxton
Title
Office Manager
Phone
(731) 668-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

221 Sterling Farm Dr
Jackson, TN 38305-5727

Mailing address

221 Sterling Farm Dr
Jackson, TN 38305-5727
Phone (731) 668-4337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1386414449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STERLING FARM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055727",
            "telephone_number": "731-668-4337",
            "fax_number": "731-661-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STERLING FARM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055727",
            "telephone_number": "731-668-4337",
            "fax_number": "731-661-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS DOCS A TENNESSEE PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "THAXTON",
        "authorized_official_first_name": "SIOBHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-668-4337"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 Jan 8, 2024; 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.