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DAISY TAN ANTIQUE MD
NPI 1447227939
Internal Medicine in Jackson, TN

Active since March 02, 2006PECOS Enrolled
708 W FOREST AVE, JACKSON, TN 38301(731) 660-8759(731) 660-8739 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daisy Tan Antique Md NPPES

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

DAISY TAN ANTIQUE MD (NPI 1447227939) is an individual internal medicine provider in Jackson, Tennessee, licensed in Tennessee (39516) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447227939
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDAISY TAN ANTIQUECredential: MD
Location Address708 W FOREST AVEJackson, TN 38301-3901
Mailing Address1804 Highway 45 Byp, Suite 604Jackson, TN 38305-4436 · (731) 660-8759 · Fax (731) 660-8739
Phone(731) 660-8759
Fax(731) 660-8739
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateDecember 11, 2007
✔ NPI 1447227939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 39516
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
708 W FOREST AVE, Jackson, TN 38301
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Other Identifiers 5

OtherP00364407Rr Medicare
Medicare ID-Type Unspecified3337042TN · Jmcgh Hospitalist
Medicare UPING88455TN
Other4118140Bcbs
Medicaid3337042TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daisy Tan Antique Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
377 services366 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
85 services84 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$17.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$88.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

JOHN HAYES MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8755
DR. DONALD CHARLES CORRELL MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 425-6280
ONCOLOGY CONSULTANTS PC
Specialist
708 W FOREST AVE, RADIATION ONCOLOGY DEPT
JACKSON, TN 38301
Madison County (731) 425-6250
JIM C CRAIG JR. M.D.
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
JERRY PETERS MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
WILLIAM L. MCGUIRE M.D.
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
MOLLY F. WRIGHT CRNA
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 927-7070
ARLENE G WILSON CRNA
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 668-1853

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 Daisy Antique's NPI number?

The NPI number for Daisy Antique is 1447227939. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Daisy Antique located?

Daisy Antique practices at 708 W Forest Ave, Jackson, TN 38301. The listed phone number is (731) 660-8759.

What is Daisy Antique's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daisy Antique enrolled in Medicare?

Yes. Daisy Antique is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daisy Antique was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.