Individual provider Active NPI

Terrence L Jackson Jr., M.D.

  • Gastroenterology Physician
  • Germantown, TN
National Provider Identifier
1760484372
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
33995 Issued in TN
Practice address
8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone
(901) 747-3630
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 23140 MS
Gastroenterology Physician 207RG0100X 33995 TN Primary

Addresses

Primary practice location

8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540
Phone (901) 261-6650

Other practice location 2

3350 N Germantown Rd
Bartlett, TN 38133-4026
Phone (901) 377-2111

Other practice location 3

7900 Airways Blvd Ste 101
Southaven, MS 38671-4113
Phone (662) 349-6950

Other practice location 4

1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone (901) 755-9110

Other identifiers 1

IdentifierTypeStateIssuer
Q026449MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101019000629 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 1052458064 Reassigns benefits to 1 organization
I20150514000837 MS Practitioner - Gastroenterology 1052458064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone (901) 755-9110

1325 Eastmoreland Ave
Suite 410
Memphis, TN 38104-7540
Phone (901) 261-6650

3350 N Germantown Rd
Bartlett, TN 38133-4026
Phone (901) 377-2111

7900 Airways Blvd
Southaven, MS 38671-4113
Phone (662) 349-6950

8000 Wolf River Blvd
Suite 200
Germantown, TN 38138-1755
Phone (901) 684-5503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy296
Upper gastrointestinal (GI) endoscopy for acid reflux239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC Gastroenterology CurrentSince Jan 1, 2014 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Gastroenterology Current Accepting new patients

Locations

7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442

7900 Airways Blvd
Ste 101
Southaven, MS 38671
Phone (662) 349-6950

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

7668 Airways Blvd
#B
Southaven, MS 38671
Phone (662) 349-6950

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

Gastro Onegovt Arhcl
New York, NY 10087

3350 N Germantown Rd
Bartlett, TN 38133
Phone (901) 377-2111

8000 Wolf River Blvd
Ste 105
Germantown, TN 38138

1324 Wolf Park Dr
Germantown, TN 38138
Phone (901) 755-9110

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

Interoperability endpoints

  • Direct secure messaging: tjackson34148@mlh.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1760484372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 WOLF RIVER BLVD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381755",
            "telephone_number": "901-747-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Eastmoreland Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047540",
            "country_code": "US",
            "telephone_number": "901-261-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 N Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334026",
            "country_code": "US",
            "telephone_number": "901-377-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Airways Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714113",
            "country_code": "US",
            "telephone_number": "662-349-6950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Wolf Park Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381741",
            "country_code": "US",
            "telephone_number": "901-755-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TERRENCE",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "23140",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "33995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q026449",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.