PRIMARY CARE - SOUTH LIMITED
NPI 1366928087
Clinic/Center - Primary Care in Jackson, TN

Q: What is Primary Care - South Limited's NPI number?

The NPI number for Primary Care - South Limited is 1366928087. It was assigned to this organization in the NPPES registry on July 16, 2018. The provider was formerly known as Primary Care South LLC.

Q: What is Primary Care - South Limited's specialty?

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

Active since July 16, 2018

1385 SOUTH HIGHLAND AVE, SUITE B-1, JACKSON, TN 38301(731) 427-0470(731) 427-0995 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Jun 14, 2024, Jan 23, 2020 and 4 more (7 updates tracked since 2018).

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About Primary Care - South Limited NPPES

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

PRIMARY CARE - SOUTH LIMITED (NPI 1366928087), doing business as Primary Care South Llc, is a healthcare organization registered as a primary care in Jackson, Tennessee and active in the NPI registry since July 2018. The organization lists Malcom Matthew Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1366928087

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePRIMARY CARE - SOUTH LIMITED

Location Address1385 SOUTH HIGHLAND AVE, SUITE B-1Jackson, TN 38301

Mailing Address1385 South Highland Ave, Suite B-1Jackson, TN 38301 · (731) 427-0470 · Fax (731) 427-0995

Phone(731) 427-0470

Fax(731) 427-0995

Organization SubpartNo

Authorized OfficialMalcom Matthew IngramOwner · (731) 427-0470

Enumeration DateJuly 16, 2018

Last NPPES UpdateSeptember 6, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1366928087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1385 SOUTH HIGHLAND AVE, Jackson, TN 38301

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Other Names 1

Former Legal Business NamePrimary Care South Llc

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 Primary Care - South Limited's NPI number?

The NPI number for Primary Care - South Limited is 1366928087. It was assigned to this organization in the NPPES registry on July 16, 2018. The provider was formerly known as Primary Care South LLC.

Where is Primary Care - South Limited located?

Primary Care - South Limited is located at 1385 South Highland Ave Suite B-1, Jackson, TN 38301. The listed phone number is (731) 427-0470.

What is Primary Care - South Limited'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 Primary Care - South Limited was last updated on September 6, 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.