WOMANS CLINIC A PROFESSIONAL ASSOCIATION NPI 1962456574

NPI Information

NPI: 1962456574
Provider Name: WOMANS CLINIC A PROFESSIONAL ASSOCIATION
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Doing Business As: WOMANS CLINIC PA
CLIA Number: 44D0315496
Address: 244 COATSLAND DR
JACKSON, TN
ZIP 38301
Phone: (731) 422-4642

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NPI Details

WOMANS CLINIC A PROFESSIONAL ASSOCIATION is an obstetrics gynecology in Jackson, TN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WOMANS CLINIC A PROFESSIONAL ASSOCIATION NPI is 1962456574. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Womans Clinic Pa.

The provider's business location address is:

244 COATSLAND DR
JACKSON, TN
ZIP 38301-948
Phone: (731) 422-4642
Fax: (731) 422-2277

The provider's authorized official is Catherine J Dillon .
The authorized official title is Business Office Mgr and has the following contact phone number (731) 422-4642.

The CLIA number assigned to this NPI record is 44D0315496 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 6/22/2010.

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
1	207V00000X	Obstetrics & Gynecology				Yes

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
1	3383748	MEDICAID	TENNESSEE
2	3383748	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE GRP NUMBER

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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