JACK G PETTIGREW DO
NPI 1780798058
Family Medicine in Brownsville, TN

Q: What is Jack Pettigrew's NPI number?

The NPI number for Jack Pettigrew is 1780798058. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Jack Pettigrew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Pettigrew was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 17, 2006PECOS Enrolled

514 W COLLEGE ST, BROWNSVILLE, TN 38012(731) 432-9461(731) 772-6116 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack G Pettigrew Do NPPES

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

JACK G PETTIGREW DO (NPI 1780798058) is an individual family medicine provider in Brownsville, Tennessee, licensed in Tennessee (D0644) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brownsville.

NPPES Registry Identity

NPI1780798058

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK G PETTIGREWCredential: DO

Location Address514 W COLLEGE STBrownsville, TN 38012-3711

Mailing Address514 W College StBrownsville, TN 38012-3711 · (731) 432-9461 · Fax (731) 772-6116

Phone(731) 432-9461

Fax(731) 772-6116

Sole ProprietorYes

Enumeration DateAugust 17, 2006

Last NPPES UpdateOctober 13, 2020

NPPES CertifiedOctober 13, 2020

✔ NPI 1780798058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · D0644

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

514 W COLLEGE ST, Brownsville, TN 38012

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Secondary Practice Location 1

Location 12290 N Washington AveBrownsville, TN 38012-1607 · Phone (731) 772-5183 · Fax (731) 772-2781

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack G Pettigrew Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38012 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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

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

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$5.99 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

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

JACK PETTIGREW PLLC

Family Medicine

514 W COLLEGE ST
BROWNSVILLE, TN 38012

Haywood County (731) 432-9461

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 Pettigrew's NPI number?

The NPI number for Jack Pettigrew is 1780798058. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Jack Pettigrew located?

Jack Pettigrew practices at 514 W College St, Brownsville, TN 38012. The listed phone number is (731) 432-9461.

What is Jack Pettigrew's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jack Pettigrew enrolled in Medicare?

Yes. Jack Pettigrew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Pettigrew was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.