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

Lawrence Richard Jackson Jr., MD

Individual provider Family Medicine Physician · NPI 1386794816

Lawrence Richard Jackson Jr., MD is a Family Practice in Waverly, Tennessee. Qualified in 1986, 40 years ago. Practices with Lawrence Richard Jackson Jr MD, a 2-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
40
Licensed in
TN
In the registry since
2007
Specialties on file
2
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

104 Hillwood Dr
Waverly, TN 37185-2116
Phone: (931) 296-3555
Fax: (931) 296-9085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD0000020215 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20215 (TN)

Record details

NPI number1386794816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESAugust 7, 2023
Certification dateDecember 19, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Lawrence Richard Jackson Jr Md — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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