Organization Active NPI

Sunshine Medical Care Inc

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1942972039
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNSHINE MEDICAL CARE INC
Practice address
504 N Highland Ave
Jackson, TN 38301-4825
Phone
(731) 574-9111
Fax
(731) 574-9999
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Allyson Anyanwu, MDNPI 1285686618
Title
Director
Phone
(731) 659-0240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

504 N Highland Ave
Jackson, TN 38301-4825

Mailing address

504 N Highland Ave
Jackson, TN 38301-4825
Phone (731) 574-9111

Other identifiers 1

IdentifierTypeStateIssuer
1285686618OtherTNINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL doctorallyson@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211019000039 TN Part B Supplier - Clinic/Group Practice 9830597129 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2246575Sunshine Medical Care Urgent Center Plus504 North Highland Ave, Jackson, TN 38301Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Locations

504 N Highland Ave
Jackson, TN 38301
Phone (731) 424-8242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1942972039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014825",
            "telephone_number": "731-574-9111",
            "fax_number": "731-574-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014825",
            "telephone_number": "731-574-9111",
            "fax_number": "731-574-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "731-659-0240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285686618",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doctorallyson@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "504 N Highland Ave",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383014825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.