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

Kenneth B Rainey, APRN

Individual provider Nurse Practitioner · NPI 1801544184

Kenneth B Rainey, APRN is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2021, 5 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2863 Highway 45 Byp
Jackson, TN 38305-3618
Phone: (731) 422-0213
Fax: (731) 256-7664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 30941 (TN)

Record details

NPI number1801544184
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 15, 2022
Last updated in NPPESOctober 25, 2023
Certification dateMarch 15, 2022
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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