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INTERNAL MEDICINE CLINIC OF JACKSON PLLC
NPI 1174773428
Clinic/Center - Primary Care in Jackson, TN

Active since September 23, 2008
587 SKYLINE DR, JACKSON, TN 38301(731) 424-8922(731) 423-2922 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Internal Medicine Clinic Of Jackson Pllc NPPES

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

INTERNAL MEDICINE CLINIC OF JACKSON PLLC (NPI 1174773428) is a healthcare organization registered as a primary care in Jackson, Tennessee and active in the NPI registry since September 2008. The organization lists Robert Hudson Dunnebacke, Pllc Member, as its authorized official.

NPPES Registry Identity

NPI1174773428
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINTERNAL MEDICINE CLINIC OF JACKSON PLLC
Location Address587 SKYLINE DRJackson, TN 38301-3938
Mailing Address3 Windwood DrJackson, TN 38305-8835 · (731) 668-9031
Phone(731) 424-8922
Fax(731) 423-2922
Organization SubpartNo
Authorized OfficialRobert Hudson DunnebackePllc Member · (731) 668-9031
Enumeration DateSeptember 23, 2008
Last NPPES UpdateSeptember 25, 2008
✔ NPI 1174773428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · MD011299
587 SKYLINE DR, Jackson, TN 38301
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Other Identifiers 3

Medicare UPINB04008TN
Medicaid3182200TN
Medicare PIN3182201TN

Other Providers at the Same Location NPPES 20

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

JOHN BAKER MD
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 421-6510
THE MEDICAL CLINIC OF JACKSON
Internal Medicine
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922
JONATHAN M. DAVIS M.D.
Internal Medicine (Pulmonary Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (317) 422-7900
MUHAMMAD AHSAN M.D.
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 421-6510
CHIBUZO E. NWOKOLO MD
Internal Medicine (Cardiovascular Disease)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 421-6510
KATIE ALYSE JOHNSON FNP
Nurse Practitioner (Family)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922
MRS. STACIE K GRANTHAM CFNP
Nurse Practitioner (Psychiatric/Mental Health)
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922
CONRADO B SIOSON JR. M.D.
Internal Medicine
587 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 424-8922

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 Internal Medicine Clinic Of Jackson PLLC's NPI number?

The NPI number for Internal Medicine Clinic Of Jackson PLLC is 1174773428. It was assigned to this organization in the NPPES registry on September 23, 2008.

Where is Internal Medicine Clinic Of Jackson PLLC located?

Internal Medicine Clinic Of Jackson PLLC is located at 587 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 424-8922.

What is Internal Medicine Clinic Of Jackson PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Internal Medicine Clinic Of Jackson PLLC was last updated on September 25, 2008. 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.