Organization Active NPI

Integrity Remodling LLC

Doing business as Jackson Medical

  • Home Modifications Contractor
  • Jackson, TN
National Provider Identifier
1982452694
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
INTEGRITY REMODLING LLC
Doing business as
Jackson Medical
Jackson Medical Supply
Practice address
110 Carriage House Drive
Suite 1
Jackson, TN 38305-3938
Phone
(731) 497-8365
NPI assigned
May 8, 2024
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Mr. Gary Paul Simpson
Title
President
Phone
(731) 215-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Primary

Addresses

Primary practice location

110 Carriage House Drive
Suite 1
Jackson, TN 38305-3938

Mailing address

110 Carriage House Drive
Suite 1
Jackson, TN 38305-3938
Phone (731) 497-8365

Other names 2

  • Jackson Medical Doing business as
  • Jackson Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

110 Carriage House Dr
Ste 1
Jackson, TN 38305
Phone (731) 497-8365

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1982452694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CARRIAGE HOUSE DRIVE",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053938",
            "telephone_number": "731-497-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARRIAGE HOUSE DRIVE",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053938",
            "telephone_number": "731-497-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY REMODLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-215-3994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Medical Supply",
            "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 6, 2025; 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.