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

Podiatry Clinic of Jackson PLLC

Organization Podiatrist · NPI 1033560826

Podiatry Clinic of Jackson PLLC is a Podiatrist in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

657 Skyline Dr Ste A
Jackson, TN 38301-3903
Phone: (731) 427-5581
Fax: (731) 427-8257
Show map & directions

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

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence DPM213 (TN)
Podiatrist Taxonomy 213E00000X · Licence DPM213 (TN)
Radiology Podiatrist Taxonomy 213ER0200X · Licence DPM213 (TN)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence DPM213 (TN)

Record details

NPI number1033560826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Holt — Office Adm/Office Mgr · (731) 427-5581
NPI enumeratedJune 23, 2016
Last updated in NPPESOctober 4, 2016
Mailing address657 Skyline Dr, Ste A, Jackson, TN 38301-3903

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