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

Dr. Connor Daniel Ludovissy, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427540566

Dr. Connor Daniel Ludovissy, DO is an Emergency Medicine in Jackson, Tennessee. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2018, 8 years ago. Practices with Empact Midwest LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
KY
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5000
Fax: (731) 660-8739
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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 05346 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence TP989 (KY)

Record details

NPI number1427540566
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address620 Skyline Dr, Jackson, TN 38301-3923

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2018 (8 years in practice)
Group practice Empact Midwest Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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