WEST TENNESSEE REGIONAL OFFICE
NPI 1114222379
Public Health or Welfare in Jackson, TN

Active since January 20, 2011CLIA 44D0890638 · Microscopy
295 SUMMAR DRIVE, JACKSON, TN 38301(731) 421-6700(731) 935-7093 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Tennessee Regional Office NPPES

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

WEST TENNESSEE REGIONAL OFFICE (NPI 1114222379) is a healthcare organization registered as a public health or welfare in Jackson, Tennessee and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through August 22, 2026 and lists Marilyn Barnes, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1114222379
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSTATE OF TENNESSEE
Location Address295 SUMMAR DRIVEJackson, TN 38301
Mailing Address295 Summar DriveJackson, TN 38301 · (731) 421-6700 · Fax (731) 935-7093
Fax(731) 935-7093
Organization SubpartNo
Authorized OfficialMarilyn BarnesRegional Director · (731) 421-6700
Enumeration DateJanuary 20, 2011
Last NPPES UpdateDecember 29, 2011
NPI 1114222379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
295 SUMMAR DRIVE, Jackson, TN 38301

Other Names 1

Doing Business AsWest Tennessee Regional Office

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0890638

West Tennessee Regional Laboratory · Jackson, TN
Active · expires Aug 22, 2026
CLIA Number44D0890638
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorDr. Shavetta Conner
Laboratory Phone(731) 421-6720
Laboratory LocationWest Tennessee Regional Laboratory295 Summar Drive, Jackson, TN 38301
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Registered Nurse (Community Health)
295 SUMMAR DRIVE
JACKSON, TN 38301

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 State Of Tennessee's NPI number?

The NPI number for State Of Tennessee is 1114222379. It was assigned to this organization in the NPPES registry on January 20, 2011. The provider is doing business as West Tennessee Regional Office.

Where is State Of Tennessee located?

State Of Tennessee is located at 295 Summar Drive, Jackson, TN 38301. The listed phone number is (731) 421-6700.

What is State Of Tennessee's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does State Of Tennessee hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0890638) is associated with this NPI, valid through August 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 State Of Tennessee was last updated on December 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.