PROFESSIONAL HEALTH SERVICES OF JACKSON
NPI 1407951684
Social Worker - Clinical in Jackson, TN

Q: What is Professional Health Services Of Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 13, 2006

233 OIL WELL RD STE E, JACKSON, TN 38305(731) 660-8467(731) 660-8495 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Professional Health Services Of Jackson NPPES

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

PROFESSIONAL HEALTH SERVICES OF JACKSON (NPI 1407951684) is a healthcare organization registered as a clinical in Jackson, Tennessee and active in the NPI registry since September 2006. The organization lists H Warren Cole, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1407951684

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NamePROFESSIONAL HEALTH SERVICES OF JACKSON

Location Address233 OIL WELL RD STE EJackson, TN 38305-8014

Mailing Address233 Oil Well Rd Ste EJackson, TN 38305-8014 · (731) 660-8467 · Fax (731) 660-8495

Phone(731) 660-8467

Fax(731) 660-8495

Organization SubpartNo

Authorized OfficialH Warren ColeCeo/owner · (731) 660-8467

Enumeration DateSeptember 13, 2006

Last NPPES UpdateFebruary 20, 2009

✔ NPI 1407951684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

233 OIL WELL RD STE E, Jackson, TN 38305

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Other Identifiers 6

Medicare ID-Type Unspecified3382556TN · Cigna Govenment Services

Medicaid3382556TN

Medicaid3926019TN

Other7567489TN · Aetna

Medicare ID-Type Unspecified3926019TN

Other556710000TN · Magellan Behavioral Healt

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Health Services Of Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Professional Health Services Of Jackson, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Vivian Bridges, FNP-BC

Nurse Practitioner

NPI 1700600970

23 SANDSTONE CIR
Jackson, TN 38305

(731) 265-6946

✔ PECOS✔ Accepts Medicare0.9 mi

Markeshe Wood, NP

Nurse Practitioner

NPI 1184127276

36 FALL CREEK DR
Jackson, TN 38305

(731) 394-5084

✔ PECOS✔ Accepts Medicare1.4 mi

Cecily Moore, LPC-MHSP

Mental Health Counselor

NPI 1962800102

15 BENT TWIG DR
Jackson, TN 38305

(731) 394-4555

✔ PECOS2.1 mi

Seth Doyle

Nurse Practitioner

NPI 1386096329

616 W FOREST AVE
Jackson, TN 38301

(872) 231-3162

✔ PECOS✔ Accepts Medicare4.0 mi

Brittany Holmes

Nurse Practitioner

NPI 1366215345

7556 US HIGHWAY 70
Bartlett, TN 38133

(901) 552-3497

✔ PECOS✔ Accepts Medicare63 mi

Frank Chin, M.D.

Family Practice

NPI 1447285317

1688 SHELBY OAKS DR N
Memphis, TN 38134

(901) 308-8734

✔ PECOS✔ Accepts Medicare67 mi

Indria Clay, LCSW

Clinical Social Worker

NPI 1649315201

1125 6TH ST SE
Willmar, MN 56201

(320) 235-4613

✔ PECOS✔ Accepts Medicare727 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Professional Health Services Of Jackson's NPI number?

The NPI number for Professional Health Services Of Jackson is 1407951684. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Professional Health Services Of Jackson located?

Professional Health Services Of Jackson is located at 233 Oil Well Rd Ste E, Jackson, TN 38305. The listed phone number is (731) 660-8467.

What is Professional Health Services Of Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Professional Health Services Of Jackson enrolled in Medicare?

Yes. Professional Health Services Of Jackson is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Health Services Of Jackson?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Professional Health Services Of Jackson. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Clinical Social Worker (1) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Health Services Of Jackson was last updated on February 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.