EXECUTIVE OUTCOMES PC - NPI 1821352808 - Internal Medicine in Jackson, TN

Q: What is Executive Outcomes PC's NPI number?

The NPI number for Executive Outcomes PC is 1821352808. It was assigned to this organization in the NPPES registry on June 25, 2012.

Q: What is Executive Outcomes PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Executive Outcomes Pc NPPES

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

EXECUTIVE OUTCOMES PC (NPI 1821352808) is a healthcare organization registered as an internal medicine in Jackson, Tennessee and active in the NPI registry since June 2012. The organization lists Monico P Banez, Owner, as its authorized official.

NPPES Registry Identity

NPI1821352808

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameEXECUTIVE OUTCOMES PC

Location Address379 HOSPITAL BLVDJackson, TN 38305-2080

Mailing AddressPo Box 11355Jackson, TN 38308-0122 · (731) 234-5717 · Fax (423) 979-6333

Phone(731) 661-6330

Organization SubpartNo

Authorized OfficialMonico P BanezOwner · (731) 234-5717

Enumeration DateJune 25, 2012

Last NPPES UpdateAugust 14, 2025

NPPES CertifiedAugust 14, 2025

✔ NPI 1821352808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

379 HOSPITAL BLVD, Jackson, TN 38305

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

JOHN J BALL MD

Obstetrics & Gynecology