NPIMap

Organization Active NPI

Pathways of Tennessee, Inc.

  • Clinic/Center
  • Jackson, TN
National Provider Identifier
1497721609
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0000000249 Issued in TN
Legal business name
PATHWAYS OF TENNESSEE, INC.
Practice address
238 Summar Dr
Jackson, TN 38301-3906
Phone
(731) 541-8200
Fax
(731) 541-8327
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Ms. Tina Prescott
Title
President and Ceo
Phone
(731) 541-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0000000249 TN Primary

Addresses

Primary practice location

238 Summar Dr
Jackson, TN 38301-3906

Mailing address

238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 541-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000523 TN Part B Supplier - Clinic/Group Practice 6507833613 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
Practice locations: Tiptonville, TN; Paris, TN; Jackson, TN; Milan, TN; Lexington, TN; Dyersburg, TN; Brownsville, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

118 S Main St
Bolivar, TN 38008
Phone (731) 659-3854

1120 Tammbell St
Brownsville, TN 38012
Phone (731) 541-8344

2035 Saint John Ave
Dyersburg, TN 38024
Phone (731) 285-1393

740 W FRST Ave
Jackson, TN 38301
Phone (731) 541-8200

1270 Union University Dr
Ste D
Jackson, TN 38305
Phone (731) 265-6450

33 Directors Row
Jackson, TN 38305
Phone (731) 313-7688

33 Directors Row
Ste A
Jackson, TN 38305
Phone (731) 541-7605

1804 Highway 45 Byp
Ste 216
Jackson, TN 38305
Phone (731) 664-6327

67 W Church St
Ste C
Lexington, TN 38351
Phone (731) 968-8197

759 W Church St
#78
Lexington, TN 38351
Phone (731) 968-8197

9550 Highway 412 W
Ste B
Lexington, TN 38351
Phone (731) 968-8197

4039 Highland St
Ste 2
Milan, TN 38358
Phone (731) 723-1327

223 S Court St
Tiptonville, TN 38079
Phone (731) 253-7780

930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333

Interoperability endpoints

  • Direct secure messaging: phenson@direct.directpathways.wth.org
  • Direct secure messaging: twright@direct.directpathways.wth.org

Practitioners & affiliated clinicians

Practitioners 110

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

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1497721609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013906",
            "telephone_number": "731-541-8200",
            "fax_number": "731-541-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013906",
            "telephone_number": "731-541-8200",
            "fax_number": "731-541-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-541-5000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "0000000249",
            "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 Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.