Lawrence Richard Jackson Jr. MD
About this NPIWhat this record shows.
NPI 1104021203 is registered to Lawrence Richard Jackson Jr. MD, a healthcare organisation classified as "Family Medicine" and located at 104 Hillwood Dr in Waverly, Tennessee. The organisation's authorised official is Lawrence Jackson. The organisation has been enumerated in the NPI registry since 2007.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 3724150TN
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20040510000335Clinic/Group PracticeTN
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lawrence Richard Jackson Jr. MD accepts. To confirm in-network status with your specific health plan, contact Lawrence Richard Jackson Jr. MD directly at (931) 296-3555.
Frequently asked
Yes. NPI 1104021203 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (931) 296-3555.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lawrence Richard Jackson Jr. MD is a Type-2 organisational NPI.