Jackson-Madison County Gen Hospital

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JACKSON-MADISON COUNTY GEN HOSPITAL

Practice address

238 Summar Dr
Jackson, TN 38301-3906

Phone

(731) 541-8349

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By 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

Lonell Gunn, BA, MS, NCC

Title

Clinician Non-Licensed

Phone

(731) 506-9012

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1932979002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CENTENNIAL DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016899",
            "telephone_number": "731-506-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013906",
            "telephone_number": "731-541-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON-MADISON COUNTY GEN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "LONELL",
        "authorized_official_title_or_position": "CLINICIAN NON-LICENSED",
        "authorized_official_telephone_number": "731-506-9012",
        "authorized_official_credential": "BA, MS, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Surgical Associates. PA
• Jackson Tennessee Hospital Company LLC (Tennova Healthcare-Regional Jackson)
• Jackson Transit Authority
• Jackson Urological Associates, P.C.
• Jackson Weight Management, Inc. (Achieve Medical Weight Loss)
• Jackson-Madison County General Hospital (Hospice of West Tennessee)
• Jackson-Madison County General Hospital (Medical Center EMS)
• Jackson-Madison County General Hospital (West Tennessee Transitional Care)
• Jackson-Madison County General Hospital (Medical Center Medical Products Infusion Services)
• Jackson-Madison County General Hospital (Medical Center Laboratory)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.