REBECCA A. GRIGGS NPI 1528470630

NPI Information

  • NPI: 1528470630
  • Provider Name: REBECCA A. GRIGGS
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: HOPE MEDICAL CLINIC
  • CLIA Number: 44D2078698
  • Address: 21 SECURITY DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 661-9163

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NPI Details

REBECCA A. GRIGGS is a health service clinic center in Jackson, TN. REBECCA A. GRIGGS NPI is 1528470630. The provider is registered as an organization entity type.
The provider Is Doing Business As Hope Medical Clinic.

The provider's business location address is:

21 SECURITY DR
JACKSON, TN
ZIP 38305-626
Phone: (731) 661-9163
Fax: (731) 664-9916

The provider's authorized official is Rebecca Anne Griggs .
The authorized official title is Sole Proprietor and has the following contact phone number (731) 661-9163.

The CLIA number assigned to this NPI record is 44D2078698 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2014 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13642935MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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