| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578531455 | HOUSTON | BENNY | C | PO BOX 400 | JACKSON | TN | 383020400 | |
| 1780651877 | MANNING | JAMES | L | PO BOX 400 | JACKSON | TN | 383020400 | |
| 1003883141 | PANOVEC | PARKER | PO BOX 400 | JACKSON | TN | 383020400 |