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

Nithyalakshmi Gaudam, MD

Individual provider Internal Medicine Physician · NPI 1679068712

Nithyalakshmi Gaudam, MD is an Internal Medicine in Jackson, Tennessee. Qualified in 2014, 12 years ago. Practices with West Tennessee Healthcare Hospitalists Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2018
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

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5000
Fax: (731) 660-8739
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2018017087 (MO)

Record details

NPI number1679068712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice West Tennessee Healthcare Hospitalists Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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