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

Lawrence Richard Jackson Jr MD

Organization Family Medicine Physician · NPI 1104021203

Lawrence Richard Jackson Jr MD is a Family Medicine Physician in Waverly, Tennessee. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

104 Hillwood Dr
Waverly, TN 37185-2116
Phone: (931) 296-3555
Fax: (931) 296-9085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104021203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Jackson — Owner · (931) 296-3555
NPI enumeratedJune 19, 2007
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing addressPo Box 270, Waverly, TN 37185-0270

Other providers in Waverly