Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Podiatry Clinic of Jackson PLLC

Organization Podiatrist · NPI 1033560826

Podiatry Clinic of Jackson PLLC provides Podiatrist services in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

657 Skyline Dr Ste A
Jackson, TN 38301-3903 Not confirmed with CMS for 10 years — call before visiting
Phone: (731) 427-5581
Fax: (731) 427-8257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence DPM213 (TN)
Podiatrist Taxonomy 213E00000X · Licence DPM213 (TN)
Radiology Podiatrist Taxonomy 213ER0200X · Licence DPM213 (TN)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence DPM213 (TN)

Record details

NPI number1033560826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Holt — Office Adm/Office Mgr · (731) 427-5581
NPI enumeratedJune 23, 2016
Last updated in NPPESOctober 4, 2016
Mailing address657 Skyline Dr, Ste A, Jackson, TN 38301-3903

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