James Lewis Proffitt, - in Jackson, TN

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.

Contact Information

James Lewis Proffitt,
2823 Airways Blvd,
Jackson, TN 38301-5611
(731) 293-9946
Not Available



Healthcare Provider's Profile

Full NameJames Lewis Proffitt
GenderMale
SpecialityCounselor
Location2823 Airways Blvd, Jackson, Tennessee
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1356442636NPI-NPPES
5441164MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1618 (Tennessee)Secondary
101Y00000XCounselor 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 AddressPractice 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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