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Jack D Anderson, DO

Family Medicine Physician in Tompkinsville, KY · enumerated 2011 · practices at Cumberland Family Medical Center Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245527969

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Registry record

Entity type Individual (Type 1)
Name Jack D Anderson
Credential DO
Sex Male
Practice address 1515 Edmonton Rd, Tompkinsville, KY, 42167
Phone (270) 487-9272
Fax (270) 487-6242
Enumeration date Jul 1, 2011
Last updated in NPPES Jun 10, 2014

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 03464 (KY) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
7100197370 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jack Anderson practice?
The practice location on file with NPPES is in Tompkinsville, KY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jack Anderson?
The National Provider Identifier (NPI) for Jack Anderson is 1245527969, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-10.