MEDNORTH GROUP PLLC NPI 1770549693

NPI Information

  • NPI: 1770549693
  • Provider Name: MEDNORTH GROUP PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3000 GREYSTONE SQ
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 664-5150

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NPI Details

MEDNORTH GROUP PLLC is a clinic center in Jackson, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MEDNORTH GROUP PLLC NPI is 1770549693. The provider is registered as an organization entity type.

The provider's business location address is:

3000 GREYSTONE SQ
JACKSON, TN
ZIP 38305-589
Phone: (731) 664-5150
Fax: (731) 664-5059

The provider's authorized official is Joseph David Blankenship .
The authorized official title is Owner And President and has the following contact phone number (731) 664-5150.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 2/23/2012.

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
1261Q00000XClinic/CenterYes

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
1165539OTHERTENNESSEEUNISON HEALTH PLAN
21430OTHERTENNESSEETLC
33729018MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEPROVIDER NUMBER
44102813OTHERTENNESSEEBCBST
53729018MEDICAIDTENNESSEE

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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