MR. JACK HOMER ATKINS III IDMT
NPI 1104052216
Military Health Care Provider - Independent Duty Medical Technicians in Louisville, TN

Active since June 03, 2009
420 POST AVE, LOUISVILLE, TN 37777(865) 985-4277(865) 985-4273 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Homer Atkins Iii Idmt NPPES

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

MR. JACK HOMER ATKINS III IDMT (NPI 1104052216) is an individual independent duty medical technicians provider in Louisville, Tennessee and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1104052216
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JACK HOMER ATKINS IIICredential: IDMT
Location Address420 POST AVELouisville, TN 37777-6223
Mailing Address420 Post AveLouisville, TN 37777-6223 · (865) 985-4277 · Fax (865) 985-4273
Fax(865) 985-4273
Sole ProprietorNo
Enumeration DateJune 3, 2009
NPI 1104052216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
420 POST AVE, Louisville, TN 37777

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.

Military Health Care Provider (Independent Duty Medical Technicians)
420 POST AVE
LOUISVILLE, TN 37777
Military Health Care Provider (Independent Duty Medical Technicians)
420 POST AVE
LOUISVILLE, TN 37777
Military Health Care Provider (Independent Duty Medical Technicians)
420 POST AVE, 134TH MEDICAL AID STATION
MCGHEE TYSON AIRBASE, TN 37777

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 Jack Atkins's NPI number?

The NPI number for Jack Atkins is 1104052216. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Jack Atkins located?

Jack Atkins practices at 420 Post Ave, Louisville, TN 37777. The listed phone number is (865) 985-4277.

What is Jack Atkins's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jack Atkins was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.