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OrganizationActive

Lawrence Richard Jackson Jr. Md

Family Medicine

LAWRENCE JACKSON
NPI: 1104021203Waverly, Tennessee, 37185(931) 296-3555

About Lawrence Richard Jackson Jr. Md

Lawrence Richard Jackson Jr. Md is a healthcare organization providing Family Medicine services, registered under National Provider Identifier (NPI) number 1104021203. The authorized official for Lawrence Richard Jackson Jr.

Md is LAWRENCE JACKSON. The organization is headquartered at 104 HILLWOOD DR, Waverly, Tennessee 37185. The main office can be reached at (931) 296-3555. Lawrence Richard Jackson Jr. Md has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address
104 HILLWOOD DR
City
Waverly
State
Tennessee
ZIP
37185-2116
Phone
(931) 296-3555
Fax
(931) 296-9085
View on Google Maps

Authorized Official

Name
LAWRENCE JACKSON

Mailing Address

Address
PO BOX 270
City
WAVERLY
State
TN
ZIP
371850270

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Family Medicine
Classification
Family Medicine
Taxonomy Code
207Q00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Lawrence Richard Jackson Jr. Md's NPI number?
Lawrence Richard Jackson Jr. Md's National Provider Identifier (NPI) is 1104021203. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Lawrence Richard Jackson Jr. Md specialize in?
Lawrence Richard Jackson Jr. Md specializes in Family Medicine.
Where is Lawrence Richard Jackson Jr. Md located?
Lawrence Richard Jackson Jr. Md practices at 104 HILLWOOD DR, Waverly, Tennessee 37185. You can reach them by phone at (931) 296-3555.
Does Lawrence Richard Jackson Jr. Md accept Medicare?
Based on available data, Lawrence Richard Jackson Jr. Md is not currently enrolled in the Medicare program.
Does Lawrence Richard Jackson Jr. Md offer telehealth or virtual visits?
Lawrence Richard Jackson Jr. Md does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Lawrence Richard Jackson Jr. Md holds NPI 1104021203, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.