Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Methodist Le Bonheur Community Outreach

Pediatrics Physician in Jackson, TN · enumerated 2012 · authorized official Pam Burnett, Manager of Operations.

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

National Provider Identifier

1174872139

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Registry record

Entity type Organization (Type 2)

Legal business name Methodist Le Bonheur Community Outreach

Practice address 77 Stonebridge Blvd, Jackson, TN, 38305

Phone (901) 287-5961

Enumeration date Sep 6, 2012

Last updated in NPPES Aug 19, 2019

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

363LC1500X Community Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Pam Burnett

Title Manager of Operations

Phone (731) 984-9963

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 type of organization is Methodist Le Bonheur Community Outreach?

Methodist Le Bonheur Community Outreach is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Lisa Dyer Registered Nurse · Jackson, TN NPI 1649419466 Sarah Robbins Social Worker · Jackson, TN NPI 1740138809

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-19.