RONNIE L. JACKSON MD
NPI 1659771350
Specialist in Springfield, TN

Q: What is Ronnie L. Jackson MD's NPI number?

The NPI number for Ronnie L. Jackson MD is 1659771350. It was assigned to this organization in the NPPES registry on August 29, 2014.

Q: What is Ronnie L. Jackson MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 29, 2014

496 NORTHCREST DR, SPRINGFIELD, TN 37172(615) 382-1037(615) 382-0990 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ronnie L. Jackson Md NPPES

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

RONNIE L. JACKSON MD (NPI 1659771350) is a healthcare organization registered as a specialist in Springfield, Tennessee and active in the NPI registry since August 2014. The organization lists Ronnie Lee Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1659771350

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameRONNIE L. JACKSON MD

Location Address496 NORTHCREST DRSpringfield, TN 37172-3972

Mailing Address496 Northcrest DrSpringfield, TN 37172-3972 · (615) 382-1037 · Fax (615) 382-0990

Phone(615) 382-1037

Fax(615) 382-0990

Organization SubpartNo

Authorized OfficialRonnie Lee JacksonOwner · (615) 382-1037

Enumeration DateAugust 29, 2014

✔ NPI 1659771350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · MD020868

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

496 NORTHCREST DR, Springfield, TN 37172

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ronnie L. Jackson MD's NPI number?

The NPI number for Ronnie L. Jackson MD is 1659771350. It was assigned to this organization in the NPPES registry on August 29, 2014.

Where is Ronnie L. Jackson MD located?

Ronnie L. Jackson MD is located at 496 Northcrest Dr, Springfield, TN 37172. The listed phone number is (615) 382-1037.

What is Ronnie L. Jackson MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ronnie L. Jackson MD was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.