JACKSON UROLOGICAL ASSOCIATES, P.C. - NPI 1770566986

Q: What is Jackson Urological Associates, P.C.'s NPI number?

The NPI number for Jackson Urological Associates, P.C. is 1770566986. It was assigned to this organization in the NPPES registry on November 22, 2005.

Q: What is Jackson Urological Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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About Jackson Urological Associates, P.c. NPPES

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

JACKSON UROLOGICAL ASSOCIATES, P.C. (NPI 1770566986) is a healthcare organization registered as an urology in Jackson, Tennessee and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Whitney Tucker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770566986

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameJACKSON UROLOGICAL ASSOCIATES, P.C.

Location Address28 MEDICAL CENTER DRJackson, TN 38301-3947

Mailing Address28 Medical Center DrJackson, TN 38301-3947 · (731) 427-9971 · Fax (731) 427-9973

Phone(731) 427-9971

Fax(731) 424-2052

Organization SubpartNo

Authorized OfficialWhitney TuckerOffice Manager · (731) 427-9971

Enumeration DateNovember 22, 2005

Last NPPES UpdateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1770566986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

28 MEDICAL CENTER DR, Jackson, TN 38301

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Other Identifiers 2

Other0142333TN · Blue Cross Blue Shield

Medicaid3704374TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1053717

Jackson Urological Associates PC · Union City, TN

Active · expires May 2, 2028

CLIA Number44D1053717

Laboratory TypePhysician Office

Certificate Effective DateMay 3, 2026

Certificate Expiration DateMay 2, 2028

Laboratory DirectorPeter G. Lawrence MD

Laboratory Phone(731) 427-9971

Laboratory LocationJackson Urological Associates PC1720 E Reelfoot Avenue, Suite 202, Union City, TN 38261

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. PETER G LAWRENCE M.D.

Urology