NPIMap

Organization Active NPI

Raleigh Professional Associates

Doing business as Jackson Professional Associates

  • Methadone Clinic
  • Jackson, TN
National Provider Identifier
1871752105
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
0000000036 Issued in TN
Legal business name
RALEIGH PROFESSIONAL ASSOCIATES
Doing business as
Jackson Professional Associates
Practice address
1869 Highway 45 Byp
Suite 5
Jackson, TN 38305-2464
Phone
(731) 660-0880
Fax
(731) 668-0380
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RALEIGH PROFESSIONAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Barbara Kay Doty
Title
Program Sponsor
Phone
(901) 372-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 0000000036 TN Primary

Addresses

Primary practice location

1869 Highway 45 Byp
Suite 5
Jackson, TN 38305-2464

Mailing address

1869 Highway 45 Byp
Suite 5
Jackson, TN 38305-2464
Phone (731) 660-0880

Other names 1

  • Jackson Professional Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Raleigh Professional Associates2 organizations share this tax ID, including this one
Part of
Raleigh Professional Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1869 Highway 45 Byp
Ste 5
Jackson, TN 38305
Phone (731) 267-8215

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1871752105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 HIGHWAY 45 BYP",
            "address_2": "SUITE 5",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052464",
            "telephone_number": "731-660-0880",
            "fax_number": "731-668-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 HIGHWAY 45 BYP",
            "address_2": "SUITE 5",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052464",
            "telephone_number": "731-660-0880",
            "fax_number": "731-668-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH PROFESSIONAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RALEIGH PROFESSIONAL ASSOCIATES",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "901-372-7878"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TN",
            "license": "0000000036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Professional Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2008; 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.