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JACKSON MEDICAL SERVICES
NPI 1396063012
Nurse Anesthetist, Certified Registered in Jackson, TN

Active since May 05, 2010
9 PHYSICIANS DR, JACKSON, TN 38305(731) 661-0086(731) 660-9055 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Medical Services NPPES

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

JACKSON MEDICAL SERVICES (NPI 1396063012) is a healthcare organization registered as a nurse anesthetist, certified registered in Jackson, Tennessee and active in the NPI registry since May 2010. The organization lists Bob Souder, Owner, as its authorized official.

NPPES Registry Identity

NPI1396063012
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameJACKSON MEDICAL SERVICES
Location Address9 PHYSICIANS DRJackson, TN 38305-2071
Mailing Address81 Stonebridge BlvdJackson, TN 38305-2042 · (731) 664-8300 · Fax (731) 664-9376
Phone(731) 661-0086
Fax(731) 660-9055
Organization SubpartNo
Authorized OfficialBob SouderOwner · (731) 664-0266
Enumeration DateMay 5, 2010
Last NPPES UpdateAugust 31, 2010
✔ NPI 1396063012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
9 PHYSICIANS DR, Jackson, TN 38305
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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 6

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

STACEY S HODGES ACNP
Nurse Practitioner (Acute Care)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
BRITTANY HARRIS NP
Nurse Practitioner (Family)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
MARK W SWAIM MD
Internal Medicine (Gastroenterology)
9 PHYSICIANS DR, TRANSSOUTH HEALTH CARE PC
JACKSON, TN 38305
Madison County (731) 661-0086
TENNESSEE ANESTHESIA NETWORK SERVICES LLC
Anesthesiology
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
ALLAN M MENACHEM MD
Internal Medicine (Gastroenterology)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086
TRANSSOUTH HEALTH CARE PLLC
Clinic/Center (Ambulatory Surgical)
9 PHYSICIANS DR
JACKSON, TN 38305
Madison County (731) 661-0086

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 Jackson Medical Services's NPI number?

The NPI number for Jackson Medical Services is 1396063012. It was assigned to this organization in the NPPES registry on May 5, 2010.

Where is Jackson Medical Services located?

Jackson Medical Services is located at 9 Physicians Dr, Jackson, TN 38305. The listed phone number is (731) 661-0086.

What is Jackson Medical Services's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jackson Medical Services was last updated on August 31, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.