Primary Care - South Limited in Jackson, TN

Primary Care - South Limited is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Jackson, Tennessee. The current practice location for Primary Care - South Limited is 1385 South Highland Ave, Suite B-1, Jackson, Tennessee. For appointments, you can reach them via phone at (731) 427-0470. The mailing address for Primary Care - South Limited is 1385 South Highland Ave, Suite B-1, Jackson, Tennessee and phone number is (731) 427-0470.

Primary Care - South Limited is licensed to practice in Tennessee (license number ). The clinic also participates in the medicare program and its NPI number is 1366928087. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (731) 427-0470.

Contact Information

	Primary Care - South Limited
	1385 South Highland Ave Suite B-1 Jackson TN 38301
	(731) 427-0470
	(731) 427-0995

Map and Direction

Primary Care Clinic Profile

Full Name	Primary Care - South Limited
Speciality	Clinic/Center
Location	1385 South Highland Ave, Jackson, Tennessee
Authorized Official Name and Position	Malcom Matthew Ingram (OWNER)
Authorized Official Contact	7314270470
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Primary Care - South Limited 1385 South Highland Ave Suite B-1 Jackson TN 38301 Ph: (731) 427-0470	Primary Care - South Limited 1385 South Highland Ave Suite B-1 Jackson TN 38301 Ph: (731) 427-0470

NPI Details:

NPI Number	1366928087
Provider Enumeration Date	07/16/2018
Last Update Date	09/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0749526440
Medicare Enrollment ID	O20190117001757

Medical Identifiers

Medical identifiers for Primary Care - South Limited such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366928087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Primary Care - South Limited acts as a billing entity for following providers:

Provider Name	Susan C Martin
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1245227313 PECOS PAC ID: 0749217172 Enrollment ID: I20050718000757

Reviews and Comments

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Primary Care - South Limited - Medicare Primary Care in Jackson, TN