JACKSON WEIGHT MANAGEMENT, INC.
NPI 1811593676
Dietitian, Registered - Nutrition, Obesity and Weight Management in Jackson, TN

NPI Status: Active since December 08, 2020

Contact Information

289 VANN DR STE A&B
JACKSON, TN
ZIP 38305
Phone: (731) 410-6786

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  • Organization
  • Dietitian, Registered
  • Nutrition, Obesity and Weight Management

About JACKSON WEIGHT MANAGEMENT, INC.

This page provides the complete NPI Profile along with additional information for Jackson Weight Management, Inc., a provider established in Jackson, Tennessee operating as a Dietitian, Registered, focusing in nutrition, obesity and weight management . The healthcare provider is registered in the NPI registry with number 1811593676 assigned on December 2020. The practitioner's primary taxonomy code is 133VN1201X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ira Keith Ellis Md (Medical Director)

NPI
1811593676
Provider Name
JACKSON WEIGHT MANAGEMENT, INC.
Entity Type
Organization
Location Address
289 VANN DR STE A&B JACKSON, TN 38305
Location Phone
(731) 410-6786
Mailing Address
378 CARRIAGE HOUSE DR STE E JACKSON, TN 38305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2020
Last Update Date
12-08-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Obesity and Weight Management

Taxonomy Code
133VN1201X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

IRA KEITH ELLIS MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(731) 610-6988

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811593676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211096614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 0 + 9 + 6 + 6 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1811593676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811593676, enumerated as an "organization" on December 08, 2020.

The provider is located at 289 VANN DR STE A&B JACKSON, TN 38305 and the phone number is (731) 410-6786.

Dietitian, Registered with taxonomy code 133VN1201X and a focus in Nutrition, Obesity and Weight Management.