Jackson Hawkins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3742 Issued in TN

Practice address

2681 Andersonville Hwy
Clinton, TN 37716-6706

Phone

(865) 457-2020

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steven Elliott OD and Associates IncGroup PAC ID 3577752526, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Steven Elliott OD and Associates Inc

  • Optometrist
  • Knoxville, TN
  • NPI 1871762856
  Medicare reassignment Care Compare group
• Optical Market, Inc.

  • Optometrist
  • Knoxville, TN
  • NPI 1225407158
  NPD (past)
• Steven D. Elliott, O.D. & Associates, Inc.

  • Optometrist
  • Clinton, TN
  • NPI 1609231752
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1760113609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185308",
            "telephone_number": "865-922-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 ANDERSONVILLE HWY",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166706",
            "telephone_number": "865-457-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6719 Maynardville Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379185308",
            "country_code": "US",
            "telephone_number": "865-922-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1053 N Central St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379176449",
            "country_code": "US",
            "telephone_number": "865-524-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma Hambo
• Hand N Hand Home Healthcare, Inc.
• Elizabeth M Harrel, M.D.
• Jacqueline Ann Harris
• Pamela F Harrison, CNA
• Health Care Inc
• Healthpro Heritage Rehab & Fitness, LLC
• Vanessa Leigh Hembree
• Sarah Hogan
• James Edward Holtslag, MOTR/L

• Optometrist in Clinton, TN
• Providers in Clinton, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.