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SELECT SPECIALTY HOSPITAL - WEST TENNESSEE, LLC
NPI 1053023713
Long Term Care Hospital in Jackson, TN

Active since December 14, 2022CLIA 44D2275995 · Accreditation
620 SKYLINE DRIVE, 5TH AND 6TH FLOORS, JACKSON, TN 38301(717) 972-1100 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Dec 14, 2022 (2 updates tracked since 2022).

About Select Specialty Hospital - West Tennessee, Llc NPPES

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

SELECT SPECIALTY HOSPITAL - WEST TENNESSEE, LLC (NPI 1053023713) is a healthcare organization registered as a long term care hospital in Jackson, Tennessee and active in the NPI registry since December 2022. The organization holds an CLIA Accreditation certificate valid through December 18, 2027 and lists John Duggan, Vp, as its authorized official.

NPPES Registry Identity

NPI1053023713
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameSELECT SPECIALTY HOSPITAL - WEST TENNESSEE, LLC
Location Address620 SKYLINE DRIVE, 5TH AND 6TH FLOORSJackson, TN 38301
Mailing Address4714 Gettysburg Rd, Melanie NotarioMechanicsburg, PA 17055 · (717) 972-1100
Phone(717) 972-1100
Organization SubpartNo
Authorized OfficialJohn DugganVp · (717) 975-4503
Enumeration DateDecember 14, 2022
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1053023713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
620 SKYLINE DRIVE, Jackson, TN 38301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Accreditation 44D2275995

Select Specialty Hospital-West Tennessee, LLC · Jackson, TN
Active · expires Dec 18, 2027
CLIA Number44D2275995
Laboratory TypeHospital
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorDr. Ashley Porter
Laboratory Phone(731) 437-2500
Laboratory LocationSelect Specialty Hospital-West Tennessee, LLC620 Skyline Dr, 5th & 6th Floors, Jackson, TN 38301
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Select Specialty Hospital - West Tennessee (CMS certification number 440239), from CMS Care Compare.

Select Specialty Hospital - West Tennessee

Acute Care Hospitals · Jackson, TN
OwnershipProprietary
CMS Certification Number440239
Location620 Skyline Drive 5th & 6th FloorsJackson, TN 38301 · Madison County · (731) 437-2500
Emergency services

Other Providers at the Same Location NPPES 16

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

TIMOTHY RAY CROSSETT MD
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6174
MRS. TWONIA MICHELLE GOYER FNP
Nurse Practitioner
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6174
JACKSON MADISON COUNTY GENERAL HOSPITAL
Rehabilitation Unit
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6930
DR. ALLEN L SCHLAMP M.D.
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 660-8759
DR. JAMES LEE ELLIS JR. M.D.
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-6174
JASON CLARK
Nurse Anesthetist, Certified Registered
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-7070
ANITA L WYNN C.R.N.A.
Nurse Anesthetist, Certified Registered
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 541-7070
DR. PAMELA A JAMIESON M.D.
Radiology (Diagnostic Radiology)
620 SKYLINE DRIVE
JACKSON, TN 38301
Madison County (731) 660-8759

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 Select Specialty Hospital - West Tennessee, LLC's NPI number?

The NPI number for Select Specialty Hospital - West Tennessee, LLC is 1053023713. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Select Specialty Hospital - West Tennessee, LLC located?

Select Specialty Hospital - West Tennessee, LLC is located at 620 Skyline Drive 5th And 6th Floors, Jackson, TN 38301. The listed phone number is (717) 972-1100.

What is Select Specialty Hospital - West Tennessee, LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Select Specialty Hospital - West Tennessee, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D2275995) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Select Specialty Hospital - West Tennessee, LLC a Medicare-certified hospital?

Yes. Select Specialty Hospital - West Tennessee is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

What insurance does Select Specialty Hospital - West Tennessee, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Select Specialty Hospital - West Tennessee, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Select Specialty Hospital - West Tennessee, LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.