Wound Care Clinic SD Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WOUND CARE CLINIC SD INC

Practice address

250 N Parkway
Jackson, TN 38305-2735

Phone

(731) 664-8400

Fax

(731) 664-8430

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Susan G Davis

Title

Owner

Phone

(731) 664-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sheila J Carter, FNP-BC, CWON, CFCN

  • Nurse Practitioner
  • Denmark, TN
  • NPI 1457327793
  NPD (past)
• Alycia D Gibson, PAC

  • Medical Physician Assistant
  • Paris, TN
  • NPI 1073544516
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477529964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052742",
            "telephone_number": "731-664-8400",
            "fax_number": "731-664-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052735",
            "telephone_number": "731-664-8400",
            "fax_number": "731-664-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE CLINIC SD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-664-8400"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Woon, PHD
• Workcare Resources Inc
• Daphne D Workman, OT
• Twila Worlock, DNP PMHNP
• Jimmy A Worrell Jr.
• Kelvin Wren, MD
• Wright Dermatology, PLLC
• Archie W Wright, DO
• Cassidy Elaine Wright
• Catherine Ann Wright, RDH

• Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Nurse Practitioner 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.