Chad Zawacki is a Physician Assistant practicing in Jackson, Tennessee. The National Provider Identifier (NPI) is #1700372109, which was assigned on July 9, 2018, and the registration record was last updated on September 24, 2018. The practitioner's main practice location is at 147 North Star Drive, Jackson, TN 38305; the contact telephone number is 7315540571. The primary taxonomy of Chad Zawacki is Physician Assistant (363A00000X). Chad Zawacki is licensed to practice in the state of Tennessee (#3631).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1700372109 |
| Entity Type | Individual |
| Provider Name | MR. CHAD ZAWACKI |
| Gender | Male |
| Credential | PA-C |
| Practice Address |
147 North Star Drive Jackson TN 38305 |
| Practice Telephone | 7315540571 |
| Mailing Address |
147 North Star Drive Jackson TN 38305 |
| Mailing Telephone | 7315540571 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-09-24 |
| Is Sole Proprietor | N |
| PAC ID |
9133470891 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | CHAD ZAWACKI |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | JACKSON CLINIC PA |
| Address |
145 Innovation Dr Jackson TN 38305-3019 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3631 | TN | ||
| N | 363AM0700X | Physician Assistant | Medical |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| Classification | Physician Assistant |
| Specialization | Medical |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
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|---|---|---|---|
| Claire Esther Boutwell | 170 Silver Maple Rdg Unit 2, Charleston, WV 25306-0106 | Physician Assistant | 2025-03-08 |
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| Bailey Madyson Fowler | 152 Fowler Rd, Kuttawa, KY 42055-5628 | Physician Assistant | 2025-03-08 |
| Marina Moeller | 7900 Division St, River Forest, IL 60305-1066 | Physician Assistant | 2025-03-07 |
| Jordan Nicole Scheunemann | 404 Highway 96 W, Shoreview, MN 55126-1900 | Physician Assistant | 2025-03-07 |
| Tatum Rae Turetzky | 1601 18th St Nw Apt 514, Washington, DC 20009-2515 | Physician Assistant | 2025-03-08 |
| Shaylee Schleppi | 1721 Magnavox Way Ste B, Fort Wayne, IN 46804-1537 | Physician Assistant | 2025-03-07 |
| Goutham Charya | 11603 Tori Glen Ct, Herndon, VA 20170-2473 | Physician Assistant | 2025-03-08 |
| Colby Finch | 302 Tyson Ave, Paris, TN 38242-4554 | Physician Assistant | 2025-03-08 |
| Abigail Joy Soderdahl | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | Physician Assistant | 2025-03-07 |
| Find all providers with the same taxonomy | |||
| Street Address |
147 NORTH STAR DRIVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38305 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| James Cowie | 156c West University Pkwy, Jackson, TN 38305 | Health Service Psychologist | 2018-10-03 |
| Tanika Annette Gillard | 4 Hampton Ln, Jackson, TN 38305 | Massage Therapist | 2017-07-28 |
| Elizabeth Lee Hall | 87 Murray Guard Dr, Ste B, Jackson, TN 38305 | Dermatology Physician | 2017-04-30 |
| Med Rx Pharmacy PC | 1356 Union University Dr, Ste G, Jackson, TN 38305 | Family Medicine Physician | 2016-05-11 |
| Gwen's Quality Care Inc. | 38 Old Hickory Cv, Suite E 200, Jackson, TN 38305 | In Home Supportive Care Agency | 2022-10-05 |
| Chien Yuan Ly | 40 Old Hickory Cove, Jackson, TN 38305 | Acupuncturist | 2022-09-12 |
| D & L Wellness Inc | 154 Carriage House Dr., Jackson, TN 38305 | Community/Behavioral Health Agency | 2016-08-09 |
| Renee Roark | 26 Lamar Cir, Suite 7, Jackson, TN 38305 | Mental Health Counselor | 2023-05-02 |
| Kimaya Jelks | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | Specialist | 2020-10-16 |
| Graham Approach | 86 Larkson Ln, Jackson, TN 38305 | Family Nurse Practitioner | 2021-10-29 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walter J Zawacki | 119 Belmont St, Worcester, MA 01605-2903 | Nurse Practitioner | 2006-10-04 |
| Kimberly A Zawacki | 24 Idlewild Ave, Cornwall On Hudson, NY 12520-1134 | Clinical Social Worker | 2013-01-09 |
| Lisa M. Zawacki | 1616 Cornwall Ave Ste 205, Bellingham, WA 98225-4642 | Mental Health Counselor | 2011-09-21 |
| Michael Zawacki | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | Certified Registered Nurse Anesthetist | 2006-01-17 |
| Carol Zawacki | 142 E Maumee St, Adrian, MI 49221-2735 | Mental Health Counselor | 2007-04-04 |
| Clorinda Kay Zawacki | 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | Internal Medicine Physician | 2006-01-29 |
| Lara Zawacki | 130 W. E St, Encinitas, CA 92024-3519 | School Psychologist | 2015-01-06 |
| Stacey A Zawacki | 635 Commonwealth Ave, Room 629, Boston, MA 02215-1605 | Registered Dietitian | 2007-01-11 |
| Jeffrey K Zawacki | 3245 Grove Ave, Suite 202, Berwyn, IL 60402-3474 | Surgery Physician | 2005-10-20 |
| Christie Zawacki | 461 21st Ave S, Nashville, TN 37240-1104 | Registered Nurse | 2024-01-18 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |