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

West Tennessee Medical Group Inc

Organization Family Medicine Physician · NPI 1053615955

West Tennessee Medical Group Inc is a Family Medicine Physician in Jackson, Tennessee. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 660-8730
Fax: (731) 660-8739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Neurological Surgery Physician Taxonomy 207T00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Neurology Physician Taxonomy 2084N0400X
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X
Trauma Surgery Physician Taxonomy 2086S0127X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1053615955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bartley Teague — Executive Director · (731) 512-1277
NPI enumeratedJanuary 6, 2011
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address257 Bancorp South Pkwy, Jackson, TN 38305-7582

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