Individual provider Active NPI

Tammy T. Jackson, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1497783146
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209610 Issued in AK
Practice address
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone
(907) 729-3300
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN07265 TN
Family Nurse Practitioner 363LF0000X 7265 TN
Family Nurse Practitioner 363LF0000X 209610 AK Primary

Addresses

Primary practice location

4320 Diplomacy Dr
Anchorage, AK 99508-5925

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8961

Other practice location 1

2525 DeSales Avenue
Chattanooga, TN 37404
Phone (423) 697-0014

Other practice location 2

350 14th Ave
Skagway, AK 99840-0537
Phone (907) 983-2255

Other identifiers 2

IdentifierTypeStateIssuer
1747421MedicaidAK
616596673AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, GA, AK4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040422000247 TX Practitioner - Nurse Practitioner 6406742659 Reassigns benefits to 1 organization
I20050223000331 TN Practitioner - Nurse Practitioner 6406742659 Reassigns benefits to 2 organizations
I20210323001611 GA Practitioner - Nurse Practitioner 6406742659 Reassigns benefits to 1 organization
I20240528003498 AK Practitioner - Nurse Practitioner 6406742659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, shared by 6 NPIs, 181 clinicians
Municipality of SkagwayGroup PAC ID 0244227726, 12 clinicians
Utm of Georgia Physicians LLCGroup PAC ID 5991138307, 14 clinicians
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

350 14TH Ave
Skagway, AK 99840-0537
Phone (907) 983-2255

400 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3847
Phone (706) 944-9018

403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589

419 N Market St
Chattanooga, TN 37405-3974
Phone (423) 414-3012

4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 265-4955

4490 Hixson Pike
Hixson, TN 37343-5038
Phone (423) 875-0700

4747 Hwy 58
Chattanooga, TN 37416-2231
Phone (423) 834-9400

625 E 12TH St
South Pittsburg, TN 37380-1630
Phone (423) 648-4460

PO Box
Skagway, AK 99840

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7265TNMDPharmacist
APN07265TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of Skagway Family CurrentSince Jun 25, 2024 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Dec 26, 2024 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Dec 26, 2024 Accepting new patients
Utm of Georgia Physicians LLC CurrentSince Feb 12, 2025 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
Emergency Medical Associates Past Accepting new patients
Emergency Medical Associates Past Accepting new patients

Locations

1209 W Walnut Ave
Ste 1
Dalton, GA 30720
Phone (706) 226-2200

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

419 N Market St
Ste 100
Chattanooga, TN 37405
Phone (423) 414-3012

4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500

2021 Hamilton Place Blvd
Chattanooga, TN 37421
Phone (423) 855-9285

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1497783146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-8961",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 DeSales Avenue",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "423-697-0014",
            "fax_number": "423-648-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Skagway",
            "state": "AK",
            "postal_code": "998400537",
            "country_code": "US",
            "telephone_number": "907-983-2255",
            "fax_number": "907-983-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TAMMY",
        "middle_name": "T.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN07265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "209610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1747421",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616596673A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.