Organization Active NPI

Barbara D Hawkes PC

  • Community/Behavioral Health Agency
  • Jackson, TN
National Provider Identifier
1659574549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
TNLSW355 Issued in TN
Legal business name
BARBARA D HAWKES PC
Practice address
378 Carriage House Dr Ste F
Jackson, TN 38305-2254
Phone
(731) 664-1922
Fax
(731) 664-0779
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara D Hawkes, LCSWNPI 1851465892
Title
Owner
Phone
(731) 664-1922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TNLSW355 TN Primary

Addresses

Primary practice location

378 Carriage House Dr Ste F
Jackson, TN 38305-2254

Mailing address

378 Carriage House Dr Ste F
Jackson, TN 38305-2254
Phone (731) 664-1922

Other identifiers 2

IdentifierTypeStateIssuer
3925625MedicaidTN
4035054OtherTNBCBS OF TN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070706000426 TN Part B Supplier - Clinic/Group Practice 5496855314 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, TN

National Provider Directory

National Provider Directory

Locations

378 Carriage House Dr
Ste F
Jackson, TN 38305
Phone (731) 664-1922

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659574549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 CARRIAGE HOUSE DR STE F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052254",
            "telephone_number": "731-664-1922",
            "fax_number": "731-664-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 CARRIAGE HOUSE DR STE F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052254",
            "telephone_number": "731-664-1922",
            "fax_number": "731-664-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA D HAWKES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-664-1922",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "TNLSW355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925625",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4035054",
            "state": "TN"
        }
    ],
    "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 Aug 22, 2020; 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.