Jackson Clinic PA
NPI 1285629386ActiveOrganization· Internal Medicine· Jackson, TN
Internal Medicine in Jackson, Tennessee, registered in NPPES in September 2005. The authorized official on file is Mark Allen, C.E.O. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1285629386 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2005 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
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 DME Supplier - Physician - General Practice (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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