Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONNOR DANIEL LUDOVISSY, DO
ActiveFamily Medicine · JACKSON, TN
Registration Details
- NPI Number
- 1427540566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2018 (7.8892213292086 yrs)
- Last Updated
- Sep 22, 2025
- Licenses
-
TP989 (KY)05346 (KY)
Practice Information
- Address
-
620 SKYLINE DRJACKSON, TN, 383013923Browse TN providers · Browse ZIP 38301
- Phone
- 7315415000
- Fax
- 7316608739
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY ERWIN MITCHELL | MD | 1871596973 |
| DR. TOBY ANDREW HAMPTON | M.D | 1831192699 |
| LUIS PAGOAGA | M.D. | 1225032956 |
| KIMBERLY ANN HOWERTON | MD | 1922002336 |
| DR. MARY L SCOTT | M.D. | 1245237601 |
| ERIKA HAZARD CREECH | MD | 1477550283 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.