Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JACK J 'BUDDY' GLISSON M.D.
NPI 1184611923
Internal Medicine in Dresden, TN

Active since October 05, 2005
130 E LOCUST ST, DRESDEN, TN 38225(731) 364-3196(731) 364-5359 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack J 'buddy' Glisson M.d. NPPES

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

DR. JACK J 'BUDDY' GLISSON M.D. (NPI 1184611923) is an individual internal medicine provider in Dresden, Tennessee, licensed in Tennessee (21707) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1184611923
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACK J 'BUDDY' GLISSONCredential: M.D.
Location Address130 E LOCUST STDresden, TN 38225-1467
Mailing Address130 E Locust StDresden, TN 38225-1467 · (731) 364-3196 · Fax (731) 364-5359
Fax(731) 364-5359
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1184611923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 21707
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
130 E LOCUST ST, Dresden, TN 38225

Other Identifiers 1

Medicaid3065945TN

Other Providers at the Same Location NPPES 6

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

Internal Medicine
130 E LOCUST ST
DRESDEN, TN 38225
Family Medicine
130 E LOCUST ST
DRESDEN, TN 38225
Internal Medicine (Pulmonary Disease)
130 E LOCUST ST
DRESDEN, TN 38225
Nurse Practitioner (Family)
130 E LOCUST ST
DRESDEN, TN 38225
Physical Therapist
130 E LOCUST ST
DRESDEN, TN 38225
Chiropractor
130 E LOCUST ST
DRESDEN, TN 38225

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 Glisson's NPI number?

The NPI number for Jack Glisson is 1184611923. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Jack Glisson located?

Jack Glisson practices at 130 E Locust St, Dresden, TN 38225. The listed phone number is (731) 364-3196.

What is Jack Glisson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jack Glisson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.