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

Northside Medical Clinic, PC

Organization Family Medicine Physician · NPI 1083781595

Northside Medical Clinic, PC is a Family Medicine Physician in Jackson, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

31 Hughes Dr
Jackson, TN 38305-1505
Phone: (731) 668-2800
Fax: (731) 668-6161
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 number1083781595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blenis — Administrator · (731) 668-2800
NPI enumeratedNovember 29, 2006
Last updated in NPPESDecember 4, 2012
Mailing address31 Hughes Dr, Jackson, TN 38305-1505

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