Jack Pettigrew PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACK PETTIGREW PLLC

Practice address

514 W College St
Brownsville, TN 38012-3711

Phone

(731) 432-9461

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Pettigrew, DONPI 1780798058

Title

Owner

Phone

(731) 432-9461

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jack G Pettigrew, DO

  • Family Medicine Physician
  • Brownsville, TN
  • NPI 1780798058
  Authorized official Same address or phone

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1508369703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121452",
            "telephone_number": "731-432-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W COLLEGE ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380123711",
            "telephone_number": "731-432-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK PETTIGREW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-432-9461",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Anne Herron, BSN, RN
• Lauren Hopper, FNP-BC
• HPG of Tennessee, Inc. (Main Street Pharmacy)
• In Her Hands, LLC
• Integrative Healthcare Solutions, PLLC.
• Kristy Jarrett, CERTIFIED HAIR LOSS
• Peggy Ann Jelks
• Crystal Celeste Johnson
• Ashley P. Jones, DPT
• Madison Joyner, OT

• Family Medicine Physician in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.