Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Andrew S. Rudin, MD, PC

Organization Specialist · NPI 1811227838

Dr Andrew S. Rudin, MD, PC provides Specialist services in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Stonebridge Blvd Ste C
Jackson, TN 38305-2040 Not confirmed with CMS for 16 years — call before visiting
Phone: (731) 431-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 45038 (TN)

Record details

NPI number1811227838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Rudin — M.D. / Owner · (731) 431-8002
NPI enumeratedJanuary 14, 2010
Last updated in NPPESJuly 22, 2010
Mailing addressPo Box 3126, Jackson, TN 38303-3126

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