Madison Fam Walk in Clinic Limited

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MADISON FAM WALK IN CLINIC LIMITED

Practice address

1660 S Highland Ave Ste J
Jackson, TN 38301-7797

Phone

(731) 423-8600

Fax

(731) 423-8636

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Fulton Weeks, BS

Title

Ceo

Phone

(731) 423-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Lesa F Ferguson, APN

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1932324019
  NPD (past)
• Haley K Hardee, APN

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1710378849
  NPD (past)
• Laura K Melaro, DNP APN FNP/PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolivar, TN
  • NPI 1750450649

  Family

  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1972645802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S HIGHLAND AVE STE J",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017797",
            "telephone_number": "731-423-8600",
            "fax_number": "731-423-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S HIGHLAND AVE STE J",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017797",
            "telephone_number": "731-423-8600",
            "fax_number": "731-423-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FAM WALK IN CLINIC LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-423-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724655",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calretha Mabry
• Dunwel Macallister, MACC-A
• Rickie Madden, CASE MANAGER
• Madison Clinic Corp
• Madison Clinic Corp Dba Jackson Pediatric Center
• Madison Family Practice
• Madison Haywood County Developmental Services, Inc
• Madison Kidney Clinic
• Madison Physician Group Inc
• Magnolia Care Services, LLC

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.