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ULTIMATE HEALTH CLINIC NORTH
NPI 1013643998
Internal Medicine in Jackson, TN

Active since July 25, 2022CLIA 44D1048745 · Waiver
16 MURRAY GUARD DR STE B, JACKSON, TN 38305(731) 660-0887(731) 660-9996 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ultimate Health Clinic North NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ULTIMATE HEALTH CLINIC NORTH (NPI 1013643998) is a healthcare organization registered as an internal medicine in Jackson, Tennessee and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Samuel Olaniyi Bada, Owner, as its authorized official.

NPPES Registry Identity

NPI1013643998
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameULTIMATE HEALTH CLINIC NORTH
Location Address16 MURRAY GUARD DR STE BJackson, TN 38305-3751
Mailing Address1673 N Royal StJackson, TN 38301-3607 · (731) 265-1997 · Fax (888) 506-5905
Phone(731) 660-0887
Fax(731) 660-9996
Organization SubpartYesParent: Ultimate Health Clinic Pc
Authorized OfficialSamuel Olaniyi BadaOwner · (731) 265-1997
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1013643998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16 MURRAY GUARD DR STE B, Jackson, TN 38305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1048745

Ultimate Health Clinic Inc · Jackson, TN
Active · expires Jun 25, 2027
CLIA Number44D1048745
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Samuel O. Bada
Laboratory Phone(731) 265-1997
Laboratory LocationUltimate Health Clinic Inc1673 North Royal St, Jackson, TN 38301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CANDACE MAYBERRY ROWLAND A.P.N.
Nurse Practitioner (Family)
16 MURRAY GUARD DR STE B
JACKSON, TN 38305
Madison County (731) 574-9779
HEARTLAND FAMILY CLINIC, LLC
Family Medicine
16 MURRAY GUARD DR STE B
JACKSON, TN 38305
Madison County (731) 574-9778
JOSHI CLINIC PA
Internal Medicine
16 MURRAY GUARD DR STE B
JACKSON, TN 38305
Madison County (731) 660-0887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ultimate Health Clinic North's NPI number?

The NPI number for Ultimate Health Clinic North is 1013643998. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Ultimate Health Clinic North located?

Ultimate Health Clinic North is located at 16 Murray Guard Dr Ste B, Jackson, TN 38305. The listed phone number is (731) 660-0887.

What is Ultimate Health Clinic North's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ultimate Health Clinic North hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1048745) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ultimate Health Clinic North was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.