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Jackson Pathology Group A Professional Corporation

Pathology, Anatomic Pathology & Clinical Pathology in Jackson, TN. Organization (NPI-2).

NPI number1679736516
StatusActive
Last updated in NPPESSep 5, 2008

Details

NPI
1679736516
Entity type
Organization (NPI-2)
Legal business name
Jackson Pathology Group A Professional Corporation
Organization subpart
No
Enumeration date
Jul 9, 2008
Last updated
Sep 5, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology–TNYes
207ZB0001X Pathology, Blood Banking & Transfusion Medicine–TN
207ZC0500X Pathology, Cytopathology–TN
207ZH0000X Pathology, Hematology–TN

Practice location

708 W Forest Ave
Jackson, TN 38301-3901

Phone 731-541-6026 · Fax 731-541-7958

Mailing address

708 W Forest Ave
Jackson, TN 38301-3901

Phone 731-541-6026 · Fax 731-541-7958

Authorized official

Christopher S Giampapa
Secretary/Treasurer
7315416026

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Anatomic Pathology & Clinical Pathology Physician providers in Jackson, TN

All 10 Anatomic Pathology & Clinical Pathology Physician providers in Jackson · All 3,212 providers in Jackson

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