James Lewis Proffitt, is a
Counselor based in Jackson, Tennessee. James Lewis Proffitt is licensed to practice in Tennessee (license number PE1618) and his current practice location is
2823 Airways Blvd, Jackson, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 293-9946.
NPI number for James Lewis Proffitt is 1356442636 and his current mailing address is 2823 Airways Blvd, Jackson, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356442636.
Healthcare Provider's Profile
Full Name | James Lewis Proffitt |
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Gender | Male |
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Speciality | Counselor |
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Location | 2823 Airways Blvd, Jackson, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356442636
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for James Lewis Proffitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356442636 | NPI | - | NPPES |
5441164 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1618 (Tennessee) | Secondary |
101Y00000X | Counselor | PE1618 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Lewis Proffitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
James Lewis Proffitt, 2823 Airways Blvd, Jackson, TN 38301-5611 Ph: (731) 293-9946 | James Lewis Proffitt, 2823 Airways Blvd, Jackson, TN 38301-5611 Ph: (731) 293-9946 |
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