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Executive Outcomes PC

Internal Medicine Physician in Jackson, TN · enumerated 2012 · authorized official Monico Banez, Owner.

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

National Provider Identifier

1821352808

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Registry record

Entity type Organization (Type 2)
Legal business name Executive Outcomes PC
Practice address 379 Hospital Blvd, Jackson, TN, 38305
Phone (731) 661-6330
Enumeration date Jun 25, 2012
Last updated in NPPES Aug 14, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Monico Banez
Title Owner
Phone (731) 234-5717

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

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.
What type of organization is Executive Outcomes PC?
Executive Outcomes PC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-14.