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PULMONARY MEDICINE CLINIC OF JACKSON, PC
NPI 1245315860
Specialist in Jackson, TN

Active since October 25, 2006
96 PHYSICIANS DR, JACKSON, TN 38305(731) 664-8771(731) 660-7050 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pulmonary Medicine Clinic Of Jackson, Pc NPPES

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

PULMONARY MEDICINE CLINIC OF JACKSON, PC (NPI 1245315860) is a healthcare organization registered as a specialist in Jackson, Tennessee and active in the NPI registry since October 2006. The organization lists Larry W Carruth, President, as its authorized official.

NPPES Registry Identity

NPI1245315860
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePULMONARY MEDICINE CLINIC OF JACKSON, PC
Location Address96 PHYSICIANS DRJackson, TN 38305-2070
Mailing Address96 Physicians DrJackson, TN 38305-2070 · (731) 664-8771 · Fax (731) 660-7050
Phone(731) 664-8771
Fax(731) 660-7050
Organization SubpartNo
Authorized OfficialLarry W CarruthPresident · (731) 664-8771
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 21, 2015
✔ NPI 1245315860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
96 PHYSICIANS DR, Jackson, TN 38305
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Other Identifiers 2

Medicare ID-Type Unspecified3709887TN · Medicare Group
Medicaid3709887TN

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

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

DR. LARRY W CARRUTH M.D.
Specialist
96 PHYSICIANS DR, 96 PHYSICIANS DRIVE
JACKSON, TN 38305
Madison County (731) 664-8771

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 Pulmonary Medicine Clinic Of Jackson, PC's NPI number?

The NPI number for Pulmonary Medicine Clinic Of Jackson, PC is 1245315860. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Pulmonary Medicine Clinic Of Jackson, PC located?

Pulmonary Medicine Clinic Of Jackson, PC is located at 96 Physicians Dr, Jackson, TN 38305. The listed phone number is (731) 664-8771.

What is Pulmonary Medicine Clinic Of Jackson, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pulmonary Medicine Clinic Of Jackson, PC was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.