Active NPI 1760774616 Individual Practitioner Male Practitioner

Dr. Nicholas G Vance , MD

Orthopaedic Surgery • Jackson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Vance, MD is a certified Orthopaedic Surgery practicing in Jackson, TN. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Vance delivers high-quality medical care to the local community at 24 PHYSICIANS DRIVE.

Dr. Vance is affiliated with West Tennessee Bone And Joint Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 Physicians Drive

Jackson, TN 383052070

Telephone 7316619825

Fax 7316686757

Associated Practice Facility / Clinic

🏢 West Tennessee Bone And Joint Clinic Pc Facility NPI 1831312461

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jackson, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -19.7 yrs vs City Avg

City Avg: 34.7 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Jackson, TN (509 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vance (15 Years) 15 Yrs

Jackson Specialty Average (34.7 Years) 34.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	13,801	102	$0.55	$0.13
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,816	31	$37.50	$17.38
99213 Established patient office or other outpatient visit, typically 15 minutes	256	158	$147.00	$81.32
20610 Aspiration and/or injection of fluid from large joint	253	114	$263.95	$64.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	128	$210.00	$115.30
73560 X-ray of knee, 1-2 views	120	50	$69.00	$29.38
73502 X-ray of hip, 2-3 views	101	53	$114.00	$39.87
73721 Mri scan of leg joint without contrast	67	32	$663.25	$94.80
73030 X-ray of shoulder, minimum of 2 views	56	37	$100.00	$31.09
J1040 Injection, methylprednisolone acetate, 80 mg	52	38	$42.00	$9.68
73564 X-ray of knee, 4 or more views	50	37	$95.00	$42.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	33	$284.00	$165.72
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	27	$255.00	$87.93
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	34	21	$3300.00	$510.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$315.00	$144.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	26	$84.00	$48.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$318.00	$152.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$210.00	$99.20
27447 Replacement of knee joint, both sides of knee	22	20	$5056.00	$1153.58
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$93.00	$35.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$95.00	$51.49
73590 X-ray of lower leg, 2 views	20	16	$79.00	$14.90
73130 X-ray of hand, minimum of 3 views	17	11	$74.00	$33.09
73501 X-ray of hip with pelvis, 1 view	16	14	$82.00	$21.45
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4267.00	$1149.25
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3544.00	$1069.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,144	22	$37.50	$16.73
99213 Established patient office or other outpatient visit, typically 15 minutes	236	140	$147.00	$82.78
20610 Aspiration and/or injection of fluid from large joint	207	105	$261.74	$65.05
J1040 Injection, methylprednisolone acetate, 80 mg	195	97	$42.00	$11.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	115	$210.00	$116.64
73560 X-ray of knee, 1-2 views	103	36	$69.00	$29.41
73502 X-ray of hip, 2-3 views	92	50	$114.00	$42.66
73721 Mri scan of leg joint without contrast	71	32	$662.70	$94.00
73030 X-ray of shoulder, minimum of 2 views	52	33	$100.00	$30.95
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	42	31	$267.14	$92.44
73564 X-ray of knee, 4 or more views	34	27	$95.00	$42.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$315.00	$154.47
J1030 Injection, methylprednisolone acetate, 40 mg	28	14	$26.00	$7.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$284.00	$166.49
73221 Mri scan of arm joint without contrast	24	12	$653.50	$96.60
72100 X-ray of lower and sacral spine, 2-3 views	23	21	$93.00	$36.53
73590 X-ray of lower leg, 2 views	21	13	$79.00	$19.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$318.00	$156.94
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	19	14	$3300.00	$509.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$210.00	$103.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$95.00	$52.06
27447 Replacement of knee joint, both sides of knee	13	13	$4988.00	$1169.08
64721 Release and/or relocation of hand nerve	12	12	$1260.00	$384.14
73501 X-ray of hip with pelvis, 1 view	12	12	$82.00	$21.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,208	24	$37.50	$16.78
99213 Established patient office or other outpatient visit, typically 15 minutes	240	146	$147.00	$83.01
20610 Aspiration and/or injection of fluid from large joint	236	105	$271.40	$65.41
J1040 Injection, methylprednisolone acetate, 80 mg	175	87	$42.00	$10.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	110	$210.00	$116.88
73560 X-ray of knee, 1-2 views	65	34	$69.00	$30.56
73721 Mri scan of leg joint without contrast	56	28	$676.84	$94.96
73610 X-ray of ankle, minimum of 3 views	56	23	$74.00	$32.70
73030 X-ray of shoulder, minimum of 2 views	55	34	$100.00	$31.90
73564 X-ray of knee, 4 or more views	44	30	$95.00	$41.68
73502 X-ray of hip, 2-3 views	44	32	$114.00	$43.28
73110 X-ray of wrist, minimum of 3 views	42	19	$79.00	$37.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	36	$158.00	$96.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$315.00	$156.36
J1030 Injection, methylprednisolone acetate, 40 mg	29	18	$26.00	$6.34
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	27	16	$3300.00	$807.07
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$93.00	$36.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$210.00	$104.07
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	17	14	$255.00	$92.11
72170 X-ray of pelvis, 1-2 views	16	13	$79.00	$25.74
20552 Injections of trigger points in 1 or 2 muscles	14	11	$147.00	$35.44
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$3544.00	$1097.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$84.00	$49.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,304	24	$37.50	$17.90
20610 Aspiration and/or injection of fluid from large joint	292	133	$253.87	$62.88
99213 Established patient office or other outpatient visit, typically 15 minutes	284	174	$147.00	$83.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	167	$210.00	$118.70
J1040 Injection, methylprednisolone acetate, 80 mg	235	121	$42.00	$10.13
73502 X-ray of hip, 2-3 views	90	51	$114.00	$42.62
73560 X-ray of knee, 1-2 views	86	44	$69.00	$28.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$315.00	$154.63
73030 X-ray of shoulder, minimum of 2 views	79	49	$100.00	$28.82
73564 X-ray of knee, 4 or more views	71	62	$95.00	$41.85
73721 Mri scan of leg joint without contrast	70	33	$672.17	$100.66
73110 X-ray of wrist, minimum of 3 views	56	21	$79.00	$37.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	38	$158.00	$97.71
J1030 Injection, methylprednisolone acetate, 40 mg	37	24	$26.00	$5.65
73610 X-ray of ankle, minimum of 3 views	34	17	$74.00	$30.41
72100 X-ray of lower and sacral spine, 2-3 views	34	33	$93.00	$35.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$210.00	$105.40
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	33	22	$3300.00	$1219.00
73630 X-ray of foot, minimum of 3 views	32	14	$72.00	$31.49
72148 MRI scan of lower spinal canal	29	16	$809.21	$86.42
73221 Mri scan of arm joint without contrast	26	13	$653.50	$104.08
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	17	$255.00	$92.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$84.00	$49.45
73590 X-ray of lower leg, 2 views	15	13	$79.00	$18.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,272	37	$45.60	$18.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	196	$190.59	$100.83
20610 Aspiration and/or injection of fluid from large joint	295	140	$285.66	$60.52
J1040 Injection, methylprednisolone acetate, 80 mg	199	110	$28.88	$11.31
99213 Established patient office or other outpatient visit, typically 15 minutes	144	114	$132.33	$70.16
73502 X-ray of hip, 2-3 views	94	59	$77.81	$34.86
73560 X-ray of knee, 1-2 views	82	51	$94.90	$29.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$192.59	$101.36
73030 X-ray of shoulder, minimum of 2 views	42	33	$93.00	$30.06
73564 X-ray of knee, 4 or more views	39	35	$112.31	$37.49
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	35	24	$1642.86	$1167.72
73610 X-ray of ankle, minimum of 3 views	30	17	$90.13	$29.98
73020 X-ray of shoulder, 1 view	29	21	$72.28	$18.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$350.00	$195.56
J1030 Injection, methylprednisolone acetate, 40 mg	24	21	$17.83	$6.04
73721 Mri scan of leg joint without contrast	24	20	$957.33	$170.01
72148 MRI scan of lower spinal canal	22	14	$855.73	$126.34
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$99.00	$35.23
73600 X-ray of ankle, 2 views	16	12	$70.00	$29.07
73221 Mri scan of arm joint without contrast	15	13	$939.87	$184.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$158.00	$101.32
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3949.00	$1136.39
20551 Injection into tendon at attachment to bone or muscle	12	11	$160.25	$44.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	240	$185.00	$100.55
20610 Aspiration and/or injection of fluid from large joint	292	152	$289.38	$57.99
J1040 Injection, methylprednisolone acetate, 80 mg	265	143	$24.00	$11.83
99213 Established patient office or other outpatient visit, typically 15 minutes	188	150	$125.00	$69.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$182.00	$100.80
73502 X-ray of hip, 2-3 views	77	56	$65.06	$32.93
73560 X-ray of knee, 1-2 views	76	48	$97.58	$29.11
73564 X-ray of knee, 4 or more views	47	46	$133.40	$37.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$350.00	$192.26
73020 X-ray of shoulder, 1 view	41	25	$75.61	$21.01
73721 Mri scan of leg joint without contrast	34	34	$1105.41	$213.15
73610 X-ray of ankle, minimum of 3 views	32	19	$94.19	$29.70
73030 X-ray of shoulder, minimum of 2 views	32	32	$91.13	$26.95
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	27	20	$1266.67	$1129.19
73552 X-ray of thigh bone, minimum 2 views	19	11	$47.37	$23.61
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$101.50	$30.71
73110 X-ray of wrist, minimum of 3 views	18	11	$101.33	$33.24
73630 X-ray of foot, minimum of 3 views	18	16	$106.67	$28.49
J1030 Injection, methylprednisolone acetate, 40 mg	17	14	$12.00	$6.28
73221 Mri scan of arm joint without contrast	16	16	$1044.00	$213.33
73600 X-ray of ankle, 2 views	14	11	$52.00	$19.52
72148 MRI scan of lower spinal canal	13	13	$1175.00	$180.55
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4066.00	$1149.78
73130 X-ray of hand, minimum of 3 views	11	11	$130.91	$30.39
27447 Replacement of knee joint, both sides of knee	11	11	$6544.00	$974.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	19	$33.25	$11.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	131	$185.00	$98.81
20610 Aspiration and/or injection of fluid from large joint	185	88	$285.14	$58.70
J1040 Injection, methylprednisolone acetate, 80 mg	161	85	$24.00	$12.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$182.00	$100.46
99213 Established patient office or other outpatient visit, typically 15 minutes	100	80	$125.00	$68.20
73502 X-ray of hip, 2-3 views	77	44	$63.38	$30.84
73560 X-ray of knee, 1-2 views	48	29	$88.88	$26.48
73564 X-ray of knee, 4 or more views	42	42	$144.05	$38.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$350.00	$193.05
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$105.00	$32.08
73030 X-ray of shoulder, minimum of 2 views	22	22	$90.00	$26.90
73630 X-ray of foot, minimum of 3 views	19	13	$92.95	$25.85
73610 X-ray of ankle, minimum of 3 views	16	11	$88.75	$26.19
73721 Mri scan of leg joint without contrast	15	15	$1044.00	$193.39
72148 MRI scan of lower spinal canal	11	11	$1175.00	$194.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	74	49	$317.84	$62.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	54	$185.00	$99.04
J1040 Injection, methylprednisolone acetate, 80 mg	54	41	$24.00	$11.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$182.00	$98.35
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$127.00	$68.16
73564 X-ray of knee, 4 or more views	21	20	$133.10	$43.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$350.00	$191.91
73030 X-ray of shoulder, minimum of 2 views	17	16	$86.29	$25.53
73502 X-ray of hip, 2-3 views	15	13	$60.00	$26.75

Medical Specialties & State Licenses

CMS Verified: 2021-12-02

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 56124

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License TN MD0000056124

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License VA 0101259929

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License TX 0040945

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

Q031011 (TN)

Hospital & Practice Group Affiliations

West Tennessee Bone And Joint Clinic Pc

50 Capital Ave, Jackson, TN 383055507

Phone: 7316619825

Secondary Practice Locations

1501 Maple Ave Ste 200

Richmond, VA 232262553

Phone: 8042882830

1501 Maple Ave Ste 200

Richmond, VA 232262553

Phone: 8042882830

569 Skyline Dr Ste 100

Jackson, TN 383013911

Phone: 7314277888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Dr. L Johnson , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1053410662

Doctor of Medicine (M.D.)

Dr. William Ragon , MD

Orthopaedic Surgery

NPI 1063535979

Doctor of Medicine (M.D.)

Christopher May , APN

Nurse Practitioner

NPI 1144827155

Advanced Practice Nurse

Dr. John Everett , MD

Orthopaedic Surgery

NPI 1164521860

Doctor of Medicine (M.D.)

Dr. John Haltom , MD

Orthopaedic Surgery - Sports Medicine

NPI 1205948254

Doctor of Medicine (M.D.)

Dr. Jason Hutchison , MD

Orthopaedic Surgery

NPI 1215036843

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location December 02, 2021

Registered at 24 PHYSICIANS DRIVE, JACKSON, TN 383052070 (Tel: 7316619825)

📍

Updated Business Mailing Address December 02, 2021

Registered at 24 PHYSICIANS DRIVE, JACKSON, TN 383052070 (Tel: 7316619825)

👤

Provider Name / Credentials Updated December 02, 2021

Recorded as NICHOLAS VANCE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Orthopaedic Surgery (License #MD0000056124 in TN)

📍

Updated Practice Location March 17, 2018

Registered at 569 SKYLINE DR STE 100, JACKSON, TN 383013911 (Tel: 7314277888)

📍

Updated Business Mailing Address March 17, 2018

Registered at 569 SKYLINE DR STE 100, JACKSON, TN 383013911 (Tel: 7314277888)

📍

Updated Practice Location February 20, 2018

Registered at 569 SKYLINE DR STE 100, JACKSON, TN 383013911 (Tel: 7314277888)

📍

Updated Business Mailing Address February 20, 2018

Registered at 569 SKYLINE DR STE 100, JACKSON, TN 383013911 (Tel: 7314277888)

✅

NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2016

Registered at 1501 MAPLE AVE STE 200, RICHMOND, VA 232262553 (Tel: 8042882830)

📍

Updated Business Mailing Address June 30, 2016

Registered at 1501 MAPLE AVE STE 200, RICHMOND, VA 232262553 (Tel: 8042882830)

👤

Provider Name / Credentials Updated June 30, 2016

Recorded as NICHOLAS VANCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Orthopaedic Surgery (License #0101259929 in VA)

🟢

Initial NPI Registration & Enumeration May 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Nicholas Vance. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1760774616

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 11, 2011

Last Update: December 02, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24 Physicians Drive

Jackson, TN 383052070

Phone: 7316619825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.