DR. S. JASON SAMMONS DMD
NPI 1295724235
Dentist - Oral and Maxillofacial Surgery in Jackson, TN

Active since October 20, 2005Opted out of Medicare · through Dec 15, 2027
11 MEDICAL PARK CT, JACKSON, TN 38305(731) 668-7412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. S. Jason Sammons Dmd NPPES

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

DR. S. JASON SAMMONS DMD (NPI 1295724235) is an individual oral and maxillofacial surgery provider in Jackson, Tennessee, licensed in Tennessee (TN7848) and active in the NPI registry since October 2005. He has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1295724235
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. S. JASON SAMMONSCredential: DMD
Location Address11 MEDICAL PARK CTJackson, TN 38305-2157
Mailing AddressPo Box 10517Jackson, TN 38308-0108 · (731) 668-7412
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1295724235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TN · TN7848
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
11 MEDICAL PARK CT, Jackson, TN 38305

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. S. Jason Sammons Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2015 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2015
Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
11 MEDICAL PARK CT
JACKSON, TN 38305
Dentist (Oral and Maxillofacial Pathology)
11 MEDICAL PARK CT
JACKSON, TN 38305

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 S. Sammons's NPI number?

The NPI number for S. Sammons is 1295724235. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is S. Sammons located?

S. Sammons practices at 11 Medical Park Ct, Jackson, TN 38305. The listed phone number is (731) 668-7412.

What is S. Sammons's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is S. Sammons enrolled in Medicare?

No. S. Sammons has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does S. Sammons accept?

Health plans from BlueCross BlueShield of Tennessee and Humana list S. Sammons 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 S. Sammons was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.