Jackson Transit Authority

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JACKSON TRANSIT AUTHORITY

Practice address

241 E Deadrick St
Jackson, TN 38301-5361

Phone

(731) 423-0200

Fax

(731) 424-9323

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Johnny Gullett

Title

General Manager

Phone

(731) 423-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JTA Other name

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1699832097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E DEADRICK ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015361",
            "telephone_number": "731-423-0200",
            "fax_number": "731-424-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E DEADRICK ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015361",
            "telephone_number": "731-423-0200",
            "fax_number": "731-424-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON TRANSIT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "GULLETT",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "731-423-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000171",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jackson Residential, LLC
• Jackson Senior Services, LLC
• Jackson Spa LLC
• Jackson Surgical Associates. PA
• Jackson Tennessee Hospital Company LLC
• Jackson Urological Associates, P.C.
• Jackson Weight Management, Inc.
• Jackson-Madison County Gen Hospital
• Jackson-Madison County General Hospital
• Jackson-Madison County General Hospital

• Non-emergency Medical Transport (VAN) in Jackson, TN
• Providers in Jackson, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.