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Dr. David L. Self Jr., M.D.

Pediatrics Physician in Jackson, TN · enumerated 2006 · practices at The Children'S Clinic of West Tennessee P.A..

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

National Provider Identifier

1790873446

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Registry record

Entity type Individual (Type 1)
Name Dr. David L. Self Jr.
Credential M.D.
Sex Male
Practice address 264 Coatsland Dr., Jackson, TN, 38301
Phone (731) 423-1500
Fax (731) 423-0342
Enumeration date Oct 10, 2006
Last updated in NPPES Oct 17, 2018

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD0000026767 (TN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
3092770 Medicaid TN -

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is David Self?
David Self is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-17.