Active NPI
Jackson and Moor, LLC
- Internal Medicine Physician
- Brentwood, TN
National Provider Identifier
1407107378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- TN34600
- Legal business name
- JACKSON AND MOOR, LLC
- Practice address
- 5055 Maryland Way
Brentwood, TN 37027-7664 - Phone
- (615) 828-6968
- NPI assigned
- Oct 1, 2012
- Last updated
- Oct 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chris Jackson, D.C.
- Title
- Part Owner
- Phone
- (615) 828-6968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TN34600 | TN | Primary |
Addresses
Primary practice location
5055 Maryland Way
Brentwood, TN 37027-7664
Mailing address
2308D Memorial Blvd
Springfield, TN 37172-3929
Phone (615) 828-6968
National Provider Directory
National Provider DirectoryLocations
5055 Maryland Way
Brentwood, TN 37027
Phone (615) 382-8144
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Springfield, TN
- NPI 1336197318
-
- Family Nurse Practitioner
- Springfield, TN
- NPI 1578826111
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1487604823
-
- Medical Physician Assistant
- Goodlettsville, TN
- NPI 1447583760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1407107378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308D MEMORIAL BLVD",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723929",
"telephone_number": "615-828-6968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 MARYLAND WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277664",
"telephone_number": "615-828-6968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON AND MOOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "PART OWNER",
"authorized_official_telephone_number": "615-828-6968",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "TN34600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.