PODIATRY CLINIC OF JACKSON PLLC
PODIATRY CLINIC OF JACKSON PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033560826, based in Jackson, TN. The organization lists 4 taxonomy classifications, with Primary Podiatric Medicine Podiatrist recorded as primary.
Getting there
The practice address on file is 657 SKYLINE DR STE A, Jackson, TN 38301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DPM213 | TN | Podiatrist |
| DPM213 | TN | Radiology Podiatrist |
| DPM213 | TN | Foot Surgery Podiatrist |
| DPM213 | TN | Primary Podiatric Medicine Podiatrist primary |
This provider holds licence DPM213 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0941594501
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Tennessee | O20160804002782 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20160928001835 | Dme Supplier - Physician - Podiatry |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Primary Podiatric Medicine covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213EP1101X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 213E00000X | Podiatrist | DPM213 | TN | |
| 213ER0200X | Radiology Podiatrist Radiology | DPM213 | TN | |
| 213ES0131X | Foot Surgery Podiatrist Foot Surgery | DPM213 | TN | |
| 213EP1101X | Primary Podiatric Medicine Podiatrist Primary Podiatric Medicine | DPM213 | TN | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1033560826 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 23, 2016 |
| Last updated | Oct 4, 2016 |
| Status | Active |
| Practice address |
657 SKYLINE DR STE A Jackson, TN 38301 (731) 427-5581 Fax (731) 427-8257 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 5 | 6 | 0 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 1 | 6 | 0 | 8 | 4 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.