NPIMap

Organization Active NPI

West Tennessee Medical Group Inc

  • Non-Pharmacy Dispensing Site
  • Jackson, TN
National Provider Identifier
1669192050
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
WEST TENNESSEE MEDICAL GROUP INC
Practice address
1410 US Highway 70 Byp
Jackson, TN 38301-5074
Phone
(731) 421-4825
Fax
(731) 574-2782
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
James Ross
Title
President and Ceo
Phone
(731) 541-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1410 US Highway 70 Byp
Jackson, TN 38301-5074

Mailing address

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Other names 1

  • West Tennessee Healthcare Corporate Health & Wellness TBDN Tennessee Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.hamilton@wth.org Direct

National Provider Directory

National Provider Directory
Tax ID family
West Tennessee Healthcare Corporate Health Wellness Marvin Windows2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1669192050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013923",
            "telephone_number": "731-541-5000",
            "fax_number": "731-541-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 US HIGHWAY 70 BYP",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015074",
            "telephone_number": "731-421-4825",
            "fax_number": "731-574-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-541-6731"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.hamilton@wth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1410 US Highway 70 Byp",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383015074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West Tennessee Healthcare Corporate Health & Wellness TBDN Tennessee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2022; 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.