45 URGENT CARE, P.C.
NPI 1912326539
Family Medicine in Jackson, TN

Active since April 10, 2014CLIA 44D2077886 · Waiver
149 N STAR DR, JACKSON, TN 38305(731) 554-0571(731) 664-7161 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 45 Urgent Care, P.c. NPPES

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

45 URGENT CARE, P.C. (NPI 1912326539) is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Shannon L Bone, President, as its authorized official.

NPPES Registry Identity

NPI1912326539
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name45 URGENT CARE, P.C.
Location Address149 N STAR DRJackson, TN 38305-5634
Mailing Address2012 Greystone SqJackson, TN 38305-3575 · (731) 664-6998 · Fax (731) 664-7161
Fax(731) 664-7161
Organization SubpartNo
Authorized OfficialShannon L BonePresident · (731) 664-6998
Enumeration DateApril 10, 2014
Last NPPES UpdateMarch 13, 2015
NPI 1912326539 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 · 34403
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.
149 N STAR DR, Jackson, TN 38305

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

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 44D2077886

45 Urgent Care, PC · Jackson, TN
Active · expires Sep 1, 2027
CLIA Number44D2077886
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorDr. Mark W. Fowler
Laboratory Phone(731) 554-0571
Laboratory Location45 Urgent Care, PC149 N Star Dr, Jackson, TN 38305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Chiropractor
149 N STAR DR
JACKSON, TN 38305
Physician Assistant
149 N STAR DR
JACKSON, TN 38305

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 45 Urgent Care, P.C.'s NPI number?

The NPI number for 45 Urgent Care, P.C. is 1912326539. It was assigned to this organization in the NPPES registry on April 10, 2014.

Where is 45 Urgent Care, P.C. located?

45 Urgent Care, P.C. is located at 149 N Star Dr, Jackson, TN 38305. The listed phone number is (731) 554-0571.

What is 45 Urgent Care, P.C.'s specialty?

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

Does 45 Urgent Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2077886) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 45 Urgent Care, P.C. accept?

Health plans from Alliant Health Plans, Inc., Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Montana and 4 other insurers list 45 Urgent Care, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 45 Urgent Care, P.C. was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.