1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Family Medicine
  6. NPI Profile

NORTHSIDE MEDICAL CLINIC, P.C.
NPI 1083781595
Family Medicine in Jackson, TN

Active since November 29, 2006
31 HUGHES DR, JACKSON, TN 38305(731) 668-2800(731) 668-6161 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northside Medical Clinic, P.c. NPPES

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

NORTHSIDE MEDICAL CLINIC, P.C. (NPI 1083781595) is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since November 2006. The organization lists John R. Blenis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083781595
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHSIDE MEDICAL CLINIC, P.C.
Location Address31 HUGHES DRJackson, TN 38305-1505
Mailing Address31 Hughes DrJackson, TN 38305-1505 · (731) 668-2800 · Fax (731) 668-6161
Phone(731) 668-2800
Fax(731) 668-6161
Organization SubpartNo
Authorized OfficialJohn R. BlenisAdministrator · (731) 668-2800
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 4, 2012
✔ NPI 1083781595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
31 HUGHES DR, Jackson, TN 38305
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

SIERRA CHRISTI CLARY APRN, FNP-C
Nurse Practitioner (Family)
31 HUGHES DR
JACKSON, TN 38305
Madison County (731) 668-2800
MRS. HOLLY BROOKE SHOURD FNP
Nurse Practitioner (Family)
31 HUGHES DR
JACKSON, TN 38305
Madison County (731) 668-2800

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 Northside Medical Clinic, P.C.'s NPI number?

The NPI number for Northside Medical Clinic, P.C. is 1083781595. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Northside Medical Clinic, P.C. located?

Northside Medical Clinic, P.C. is located at 31 Hughes Dr, Jackson, TN 38305. The listed phone number is (731) 668-2800.

What is Northside Medical Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Northside Medical Clinic, P.C. was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.