Active NPI
Jessica Hale, D.O.
- Plastic and Reconstructive Surgery Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 5920
- Practice address
- 569 Skyline Dr
Jackson, TN 38301-3911 - Phone
- (731) 421-0030
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 5920 | TN | Primary |
Addresses
Primary practice location
569 Skyline Dr
Jackson, TN 38301-3911
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 421-0030
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241213002791 | TN | Practitioner - Orthopedic Surgery | 8628439155 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DX Mso PLLC
Practice addresses (Care Compare)
1521 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-3124
Phone (423) 458-1426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5920 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
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.
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1760918445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 BANCORP SOUTH PKWY",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057582",
"telephone_number": "731-421-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013911",
"telephone_number": "731-421-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "JESSICA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TN",
"license": "5920",
"primary": true
}
],
"identifiers": [],
"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 Sep 8, 2026; 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.