JACKSON MADISON COUNTY GENERAL HOSPITAL NPI 1669400131

NPI Information

  • NPI: 1669400131
  • Provider Name: JACKSON MADISON COUNTY GENERAL HOSPITAL
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 708 W FOREST AVE
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 425-6149

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NPI Details

JACKSON MADISON COUNTY GENERAL HOSPITAL is a diagnostic radiology radiology in Jackson, TN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JACKSON MADISON COUNTY GENERAL HOSPITAL NPI is 1669400131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

708 W FOREST AVE
JACKSON, TN
ZIP 38301-901
Phone: (731) 425-6149
Fax: (731) 660-8739

The provider's authorized official is Jama M Phillips .
The authorized official title is Director Of Physician Billing and has the following contact phone number (731) 660-8737.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 10/30/2025.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
13273711MEDICAIDTENNESSEE

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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