Jason Cole Jackson, PA-C, DC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2187 Issued in TN

Practice address

1211 Dinah Shore Blvd
Winchester, TN 37398-1107

Phone

(931) 967-6669

Fax

(931) 967-6606

NPI assigned

Sep 20, 2006

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Physician Assistant

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Express Care, LLCGroup PAC ID 5294904017, 5 clinicians

Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Complete Express Care, LLC

  • Urgent Care Clinic/Center
  • Winchester, TN
  • NPI 1083909204
  Medicare reassignment Care Compare group
• 58 Family Chiropractic

  • Chiropractor
  • Chattanooga, TN
  • NPI 1962500785
  NPD (past) Authorized official
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Physician Assistant

  NPD
• Henson's Family Medical LLC

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1386875987
  NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD (past)
• Morris Family Chiropractic, Inc.

  • Chiropractor
  • Chattanooga, TN
  • NPI 1326198425
  NPD (past)
• Huskey Chiropractic Center, PC

  • Chiropractor
  • Hendersonville, NC
  • NPI 1336271881
  NPD (past)

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

• Southern Tennessee Medical Center LLC

  dba Highpoint Health - Winchester with Ascension Saint Thomas

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1649378464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981107",
            "telephone_number": "931-967-6669",
            "fax_number": "931-967-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981107",
            "telephone_number": "931-967-6669",
            "fax_number": "931-967-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JASON",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "PA-C, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2187",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000002010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BC/BS",
            "identifier": "4117134",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Huffman, SLP-CCC
• Jennifer Hunt
• Glen A Hyde, D.D.S.
• Heather Ann Hyden, FNP-C
• Internal Medicine Specalists of Middle Tennessee
• Gina Renee Jacobs, OWNER/OPERATOR DOT
• Cynthia Janke, LCSW
• Saharra D Jewell, APN
• Deborah K Jolleywatson, D.PH.
• K -VA -T Food Stores Inc (Food City Pharmacy #690)

• Physician Assistant in Winchester, TN
• Providers in Winchester, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.