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

Bethany Ann Wardlow, MD

Individual provider Family Medicine Physician · NPI 1265566483

Bethany Ann Wardlow, MD is a Family Practice in Jackson, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2007, 19 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1893 S Highland Ave
Jackson, TN 38301-7799
Phone: (731) 423-5585
Fax: (731) 423-5587
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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 · Licence 45434 (TN)

Record details

NPI number1265566483
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESNovember 29, 2012
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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