Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jackson Clinic PA

Internal Medicine Physician in Jackson, TN · enumerated 2005 · authorized official Mark Allen, C.E.O..

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

National Provider Identifier

1285629386

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Registry record

Entity type Organization (Type 2)

Legal business name Jackson Clinic PA

Practice address 2863 Highway 45 Byp, Jackson, TN, 38305

Phone (731) 664-1375

Fax (731) 664-1378

Enumeration date Sep 14, 2005

Last updated in NPPES Sep 10, 2025

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary

152W00000X Optometrist Eye and Vision Services Providers Secondary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary

207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Mark Allen

Title C.E.O.

Phone (731) 422-0203

Other identifiers

Identifier	Type	State	Issuer
3370007	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

Where is Jackson Clinic PA located?

The practice location on file with NPPES is in Jackson, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-10. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-10.