INTERNAL MEDICINE CLINIC OF JACKSON PLLC
INTERNAL MEDICINE CLINIC OF JACKSON PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174773428, based in Jackson, TN. It is classified under Primary Care Clinic/Center.
Getting there
The practice address on file is 587 SKYLINE DR, 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 |
|---|---|---|
| MD011299 | TN | Primary Care Clinic/Center primary |
This provider holds licence MD011299 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
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 | 1174773428 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 23, 2008 |
| Last updated | Sep 25, 2008 |
| Status | Active |
| Practice address |
587 SKYLINE DR Jackson, TN 38301 (731) 424-8922 Fax (731) 423-2922 |
| Mailing address |
3 WINDWOOD DR Jackson, TN 38305 |
| Other identifiers |
3182200
(TN) |
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 | 1 | 7 | 4 | 7 | 7 | 3 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 5 | 4 | 5 | 7 | 6 | 4 | 4 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
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.