Dermatology Clinic of Jackson
NPI 1073825659ActiveOrganization· Dermatology· Jackson, TN
Dermatology in Jackson, Tennessee, registered in NPPES in July 2010. The authorized official on file is William Patrick Teer, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073825659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2010 |
| Last updated in NPPES | Jul 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 26042 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other Dermatology providers in Jackson
- 1245740547
- 1750368932
- 1689669673
- 1295788461
- 1962644013
- 1053990432
- 1720039423