DR. GRETCHEN PURCELL JACKSON M.D., PH.D.
NPI 1790712693
Surgery - Pediatric Surgery in Nashville, TN

Q: What is Gretchen Jackson's NPI number?

The NPI number for Gretchen Jackson is 1790712693. It was assigned to this individual provider in the NPPES registry on June 27, 2006. The provider is also known as Dr. Gretchen Patricia Purcell M.D., Ph.D..

Q: What is Gretchen Jackson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Gretchen Jackson was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 27, 2006PECOS Enrolled

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2020, Mar 24, 2019 (2 updates tracked since 2019).

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About Dr. Gretchen Purcell Jackson M.d., Ph.d. NPPES

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

DR. GRETCHEN PURCELL JACKSON M.D., PH.D. (NPI 1790712693) is an individual pediatric surgery provider in Nashville, Tennessee, licensed in Tennessee (MD41269) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1790712693

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameDR. GRETCHEN PURCELL JACKSONCredential: M.D., PH.D.

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-5100

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-3573 · Fax (615) 936-6095

Phone(615) 322-3000

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateMarch 18, 20222 updates tracked since enumeration

NPPES CertifiedMarch 18, 2022

✔ NPI 1790712693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in TN · MD41269

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License MD41269 (TN)

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Other Names 1

Former Name (1)Dr. Gretchen Patricia Purcell M.d., Ph.d.

Secondary Practice Location 1

Location 12200 Childrens WayNashville, TN 37232-0005 · Phone (615) 936-2000

Other Identifiers 1

Other620476822Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gretchen Purcell Jackson M.d., Ph.d. 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.

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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)