ACNE & ROSACEA CLINICS — NPI 1356593545 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family in JACKSON, TN)

CMS-1500 Box 24J / 33a • NPI

1356593545

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LF0000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family

Box 32 Service Location & ZIP+4

907 VANN DRIVE SUITE M, JACKSON, TN, 38305-6046

✓ 9-Digit EDI 837 ZIP+4 (38305-6046)

Practice Phone & Referral Fax

(731) 668-5000

Fax: (731) 668-5122

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356593545 (ACNE & ROSACEA CLINICS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356593545` (NPI-2 Organization / Facility)
Provider / Legal Name	ACNE & ROSACEA CLINICS
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: `363LF0000X` (Nurse Practitioner, Family)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	907 VANN DRIVE SUITE M, JACKSON, TN, 38305-6046
Practice Telephone / Fax	Tel: (731) 668-5000 \| Fax: (731) 668-5122
Administrative Mailing Address	907 VANN DRIVE STE M, JACKSON, TN, 38012-6046
Enumeration & Last Sync	Enumerated: 2008-10-21 \| CMS Record Updated: 2008-10-21
Authorized Official	MARY BETH COX (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

907 VANN DRIVE SUITE M, JACKSON, TN, 38305-6046

🗺️ Open in Google Maps 🏥 More Providers in JACKSON

🔒 Are you ACNE & ROSACEA CLINICS? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACNE & ROSACEA CLINICS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: TN \| License: `APN8135` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ACNE & ROSACEA CLINICS (NPI #1356593545)