SOUTH JACKSON MEDICAL & WELLNESS CENTER
NPI 1295570083
Nurse Practitioner - Primary Care in Jackson, TN
About South Jackson Medical & Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH JACKSON MEDICAL & WELLNESS CENTER (NPI 1295570083) is a healthcare organization registered as a primary care in Jackson, Tennessee and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Maranda Haynes, Chief Compliance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Accepted Insurance
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 of Waiver 44D2112551
South Jackson Medical & Wellness Center, LLC · Jackson, TNOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 South Jackson Medical & Wellness Center LLC's NPI number?
The NPI number for South Jackson Medical & Wellness Center LLC is 1295570083. It was assigned to this organization in the NPPES registry on June 25, 2024. The provider is doing business as South Jackson Medical & Wellness Center. The provider was formerly known as Primary Care South LLC.
Where is South Jackson Medical & Wellness Center LLC located?
South Jackson Medical & Wellness Center LLC is located at 1385 S Highland Ave Ste B1, Jackson, TN 38301. The listed phone number is (731) 427-0470.
What is South Jackson Medical & Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does South Jackson Medical & Wellness Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2112551) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Jackson Medical & Wellness Center LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list South Jackson Medical & Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Jackson Medical & Wellness Center LLC was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
