Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrated Medical Staff of Jackson PC

Organization Anesthesiology Physician · NPI 1659779445

Integrated Medical Staff of Jackson PC is an Anesthesiology Physician in Jackson, Tennessee. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
15
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

828 N Pkwy
Jackson, TN 38305-3032
Phone: (731) 422-0330
Fax: (731) 422-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Anesthesiology Physician Taxonomy 207L00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Infectious Disease Physician Taxonomy 207RI0200X
Nephrology Physician Taxonomy 207RN0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1659779445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJackson Clinic, PA
Authorized official Mark Allen — Ceo · (731) 422-0330
NPI enumeratedDecember 11, 2014
Last updated in NPPESDecember 11, 2014
Mailing address828 N Parkway, Jackson, TN 38305-3032

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