Jackson Madison County Regional Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

TN015749RE Issued in TN

Legal business name

JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT

Doing business as

Jackson Madison County Health Department

Practice address

804 North Parkway
Jackson, TN 38305-3058

Phone

(731) 423-3020

Fax

(731) 927-8603

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tony R Emison, MDNPI 1043341555

Title

Director

Phone

(731) 423-3020

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jackson Madison County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Jackson Madison Cnty HLTH Dept2 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.

• Jackson Madison County Regional Health Department

  • State or Local Public Health Clinic/Center
  • Jackson, TN
  • NPI 1265700637
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tony Ray Emison, M.D.

  • Clinic/Center
  • Jackson, TN
  • NPI 1043341555
  Authorized official Same address or phone
• William D Bryan, MD

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1891780474
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871676593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 NORTH PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-423-3020",
            "fax_number": "731-927-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 NORTH PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-423-3020",
            "fax_number": "731-927-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MADISON COUNTY REGIONAL HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "731-423-3020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": "TN015749RE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "3087941",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLC",
            "identifier": "5607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4448133",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Madison County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackson Madison County General Hospital
• Jackson Madison County General Hospital
• Jackson Madison County General Hospital (JMCGH Radiology Professional)
• Jackson Madison County General Hospital (Infectious Disease)
• Jackson Madison County Regional Health Department
• Jackson Madison General Hospital
• Jackson Madison Surgery Center LLC
• Jackson Medical Services
• Jackson OB-GYN Associates, P.C.
• Jackson Ophthalmology ASC LLC (Physicians Surgery Center)

• Public Health or Welfare Agency in Jackson, TN
• Providers in Jackson, TN by specialty
• Public Health or Welfare Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.