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

Jack D Anderson, DO

Individual provider Family Medicine Physician · NPI 1245527969

Jack D Anderson, DO is a Family Practice in Tompkinsville, Kentucky. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2010, 16 years ago. Practices with Cumberland Family Medical Center Inc, a 125-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
KY
In the registry since
2011
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

1515 Edmonton Rd
Tompkinsville, KY 42167-9402
Phone: (270) 487-9272
Fax: (270) 487-6242
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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 03464 (KY)

Record details

NPI number1245527969
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESJune 10, 2014
Mailing addressPo Box 1080, Burkesville, KY 42717-1080

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2010 (16 years in practice)
Group practice Cumberland Family Medical Center Inc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tompkinsville