| NPI | 1093705428 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-10-26 |
| Last Updated | 2025-10-30 |
| Authorized Official | Tina Prescott President and CEO Phone: 7315415000 |
| Mailing Address | 620 Skyline Dr Jackson, TN 38301-3923 United States Phone: (731) 541-5000 📍 View Map |
| Primary Practice Address | 620 Skyline Dr Jackson, TN 38301-3901 United States Phone: (731) 541-5000 | Fax: (731) 660-8739 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 0440002 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 282N00000X – General Acute Care Hospital | TN | 0000000078 |
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About NPI 1093705428
Jackson Madison County General Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1093705428. The primary specialty listed is General Acute Care Hospital. The organization is located in Jackson, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093705428?
NPI 1093705428 belongs to Jackson Madison County General Hospital, a General Acute Care Hospital in Jackson, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093705428 active?
The current status of NPI 1093705428 in the NPPES registry is Active. The record was last updated on 2025-10-30.
What specialty is NPI 1093705428?
NPI 1093705428 is classified under the taxonomy General Acute Care Hospital. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093705428?
You can verify NPI 1093705428 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093705428?
The primary practice address on file for NPI 1093705428 is 620 Skyline Dr, Jackson, TN 38301-3901. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093705428 issued?
NPI 1093705428 was first issued (enumerated) on 2005-10-26. The NPPES record was last updated on 2025-10-30.
Practice Location Map
Jackson Madison County General Hospital is located at 620 Skyline Dr, Jackson, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jackson Madison County General Hospital. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093705428. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| General Acute Care Hospital | 0000000078 | TN |