1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Physician Assistant
  6. NPI Profile

MR. JACK NEELY HALTON III PA-C
NPI 1720859119
Physician Assistant in Memphis, TN

Active since January 15, 2024
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Neely Halton Iii Pa-c NPPES

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

MR. JACK NEELY HALTON III PA-C (NPI 1720859119) is an individual physician assistant in Memphis, Tennessee and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1720859119
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JACK NEELY HALTON IIICredential: PA-C
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address4207 S Dale Mabry Hwy Unit 2302Tampa, FL 33611-1431 · (904) 521-8111
Phone(901) 523-8990
Sole ProprietorNo
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 13, 2024
✔ NPI 1720859119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1030 JEFFERSON AVE, Memphis, TN 38104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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.

MISS DEBORAH GERISE KARTHEISER RN
Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MRS. KENYETTA D. MCINTOSH-JONES LCSW
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
KELSEY A TIEMANN PHARM.D.
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
PENELOPE BLAND
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. MAXWELL TREVOR MCCLURE PT
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
CAMEKA SHANTA MOORE RN
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DANIELLE NICOLE TAYLOR
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. ROBERT WOOD SMITH DDS
Dentist (General Practice)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990

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 Jack Halton's NPI number?

The NPI number for Jack Halton is 1720859119. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Jack Halton located?

Jack Halton practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Jack Halton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Jack Halton accept?

Health plans from Blue Cross and Blue Shield of Texas list Jack Halton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Halton was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.