Chad M Zawacki · Physician Assistant

2863 Highway 45 Byp, Jackson, TN 38305-3618

Overview

Chad M 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 December 10, 2025. The practitioner's main practice location is at 2863 Highway 45 Byp, Jackson, TN 38305-3618; the contact telephone number is 7314220213, and the fax number is 7318825017. The primary taxonomy of Chad M Zawacki is Physician Assistant (363A00000X). Chad M 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.

Provider Information

NPI 1700372109
Entity Type Individual
Provider Name MR. CHAD M ZAWACKI
Gender Male
Credential PA-C
Practice Address 2863 Highway 45 Byp
Jackson
TN 38305-3618
Practice Telephone 7314220213
Practice Fax Number 7318825017
Mailing Address Po Box 400
Jackson
TN 38302-0400
Mailing Telephone 7314238697
Mailing Fax Number 7314232073
Certification Date 2025-12-10
Enumeration Date 2018-07-09
Last Update Date 2025-12-10
Is Sole Proprietor N

Doctor and Clinician Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant3631TN
N363AM0700XPhysician AssistantMedical

Taxonomy Information

Primary Taxonomy

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.

Other Taxonomy

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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Location Information

Street Address 2863 HIGHWAY 45 BYP
City JACKSON
State TN
Zip Code 38305-3618
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Emily Fitts 2863 Highway 45 Byp, Jackson, TN 38305-3618Family Nurse Practitioner2021-12-30
Reagan Walker Sanford 2863 Highway 45 Byp, Jackson, TN 38305-3618Physician Assistant2025-02-26
Alexandria Grace Hearn 2863 Highway 45 Byp, Jackson, TN 38305-3618Family Nurse Practitioner2023-10-09
Jackson Clinic Pa 2863 Highway 45 Byp, Jackson, TN 38305-3618Optometrist2005-09-14
Yasmin Nabil Mahmoud 2863 Highway 45 Byp, Jackson, TN 38305-3618Nephrology Physician2020-04-23
Karen Wyatt 2863 Highway 45 Byp, Jackson, TN 38305-3618Family Nurse Practitioner2006-03-10
Morgan Rachelle Wages 2863 Highway 45 Byp, Jackson, TN 38305-3618Family Nurse Practitioner2012-03-27
Sameer Lowai Dawoodi 2863 Highway 45 Byp, Jackson, TN 38305-3618Gastroenterology Physician2019-03-29
Katy Chandler 2863 Highway 45 Byp, Jackson, TN 38305-3618Pharmacist2025-06-12

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Scott R Johnson 2859 Highway 45 Byp, Jackson, TN 38305-3618Sports Medicine (Family Medicine) Physician2006-05-20
Michael James Martin 2859 Highway 45 Byp, Jackson, TN 38305-3618Family Medicine Physician2010-07-16

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ashley Nichole Mathes 2790 N Highland Ave Ste B, Jackson, TN 38305-1843Clinical Social Worker2015-03-26
Veronica Jarido 49 Larkson Ln, Jackson, TN 38305-1983Gastroenterology Physician2012-04-26
Sterling Ruffin Craig 2817 North Highland Avenue, Suite A, Jackson, TN 38305-1789Dermatology Physician2006-08-14
Elizabeth Lee Hall 68 Exeter Rd, Ste B, Jackson, TN 38305-1829Dermatology Physician2017-04-30
Katherine Elizabeth Robinson-Freeman 68 Exeter Rd, Jackson, TN 38305-1829Dermatology Physician2021-04-05
Dyersburg Kidney Clinic, Inc 16 Murray Guard Drive, Jackson, TN 38305General Acute Care Hospital2007-05-22
Kimberly Wormer Preston 68 Exeter Rd, Jackson, TN 38305-1829Nurse Practitioner2011-04-20
Ava Elizabeth Lovelace 2863 Hwy 45 Bypass, Jackson, TN 38305Nurse Practitioner2025-02-10
Jamie Lauren Sides 68 Exeter Rd, Jackson, TN 38305-1829Nurse Practitioner2021-08-09
Alexander T Luy 2782 N Highland Ave, Suite A, Jackson, TN 38305-1798Physical Therapist2006-11-14
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Dataset Information

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

Dataset Details

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.