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SPORTS, ORTHOPEDICS & SPINE
NPI 1043240716
Orthopaedic Surgery in Jackson, TN

Active since July 05, 2006CLIA 44D1034034 · Waiver
569 SKYLINE DR, SUITE 100, JACKSON, TN 38301(731) 427-7888(731) 265-4152 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sports, Orthopedics & Spine NPPES

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

SPORTS, ORTHOPEDICS & SPINE (NPI 1043240716) is a healthcare organization registered as an orthopaedic surgery in Jackson, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Kay Jordan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043240716
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameWEST TENNESSEE ORTHOPEDICS AND SPORTS MEDICINE,P.C.
Location Address569 SKYLINE DR, SUITE 100Jackson, TN 38301-3911
Mailing Address569 Skyline Dr, Suite 100Jackson, TN 38301-3911 · (731) 427-7888 · Fax (731) 265-4152
Phone(731) 427-7888
Fax(731) 265-4152
Organization SubpartNo
Authorized OfficialKay JordanAdministrator · (731) 427-7888
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 5, 2011
✔ NPI 1043240716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 26655
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
569 SKYLINE DR, Jackson, TN 38301
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Other Names 1

Doing Business AsSports, Orthopedics & Spine

Other Identifiers 3

Medicare NSC1141740001TN
Medicare ID-Type Unspecified3709355TN
Medicaid3709355TN

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 44D1034034

Sports, Orthopedics & Spine · Jackson, TN
Active · expires Nov 22, 2026
CLIA Number44D1034034
Laboratory TypePractitioner Other
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorKeith D. Nord MD
Laboratory Phone(731) 427-7888
Laboratory LocationSports, Orthopedics & Spine111 Stonebridge Blvd, Jackson, TN 38305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

MRS. CAROLINE M BOLTON PHYSICAL THERAPIST
Physical Therapist
569 SKYLINE DR, SUITE 100
JACKSON, TN 38301
Madison County (731) 427-7888
DESERAY S MELTON NP
Nurse Practitioner (Family)
569 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 664-7395
KALEE JO FOUNTAIN FNP-C
Nurse Practitioner (Family)
569 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 664-7395
LINDA LAMBERT
Nurse Practitioner (Family)
569 SKYLINE DR
JACKSON, TN 38301
Madison County (901) 448-6128
JENNIFER R PUTNAM-SCOTT MSN, AGNP-C
Nurse Practitioner
569 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 664-7395
DR. ZACHARY NEGLEY MD
Surgery
569 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 664-7395
DR. PRATHMESH JAIN M.D.
Specialist
569 SKYLINE DR, SUITE 100
JACKSON, TN 38301
Madison County (731) 427-7888
HEATHER LYNN RICHARDS M.T.
Massage Therapist
569 SKYLINE DR, SUITE 100
JACKSON, TN 38301
Madison County (731) 427-7888

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 West Tennessee Orthopedics And Sports Medicine,p.C.'s NPI number?

The NPI number for West Tennessee Orthopedics And Sports Medicine,p.C. is 1043240716. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Sports, Orthopedics & Spine.

Where is West Tennessee Orthopedics And Sports Medicine,p.C. located?

West Tennessee Orthopedics And Sports Medicine,p.C. is located at 569 Skyline Dr Suite 100, Jackson, TN 38301. The listed phone number is (731) 427-7888.

What is West Tennessee Orthopedics And Sports Medicine,p.C.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does West Tennessee Orthopedics And Sports Medicine,p.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1034034) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Tennessee Orthopedics And Sports Medicine,p.C. was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.