John Baker, MD
Individual provider Active NPI Cardiovascular Disease Physician · Jackson, TN
NPI 1003801796 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1003801796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 28097 (TN)
- Practice address
- 587 Skyline Dr
Jackson, TN 38301-3938 - Phone
- (731) 421-6510
- Fax
- (731) 421-6500
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- University of Tennessee, HSC, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Tennessee Medical Group Inc
Practice addresses (Care Compare)
161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 587-4261
164 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 642-8884
1716 Parr Ave
Suite C
Dyersburg, TN 38024-2074
Phone (731) 421-6510
180 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 587-4261
235 Tyson Ave
Paris, TN 38242-4544
Phone (731) 644-3211
239 Tyson Ave
Paris, TN 38242-4544
Phone (731) 644-8208
301 Tyson Ave
Suite a B
Paris, TN 38242-4544
Phone (731) 421-6510
395 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 660-3344
4039 S Highland St
Milan, TN 38358-3483
Phone (731) 686-1591
405 Tyson Ave
Paris, TN 38242-4835
Phone (731) 421-1650
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
640 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 541-9490
650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 645-7932
700 W Forest Ave
Jackson, TN 38301-3937
Hospital & facility affiliations
- Jackson-Madison County General Hospital
- Dyersburg Regional Medical Center
- Volunteer Community Hospital
- West Tennessee Healthcare Henry County Hospital
- West Tennessee Healthcare Milan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100210000109 | TN | Practitioner - Interventional Cardiology |
5395744775 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28097 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Current |
Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients |
Locations
640 Nuckolls Rd
Bolivar, TN 38008
Phone (615) 260-8829
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
1716 Parr Ave
Ste C
Dyersburg, TN 38024
Phone (731) 285-2324
700 W Forest Ave
Fl 33
Jackson, TN 38301
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900
405 Tyson Ave
Paris, TN 38242
Phone (731) 394-3499
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 28097 | TN | Yes |
Addresses
Primary practice location
587 Skyline Dr
Jackson, TN 38301-3938
Mailing address
587 Skyline Dr
Jackson, TN 38301-3938
Phone (731) 421-6510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505760 | Medicaid | TN | |
| 3807824 | Medicaid | TN |
Other providers in Jackson, TN
- Melissa Baines
- Barbara Baize
- Charity Baker
- Cynthia Baker
- Heather Marie Baker
- Valerie Baker
- Joel Atangan Balajadia
- Mark Baldwin
- Michelle D. Baldwin
- John J Ball
All providers in Jackson, TN · Cardiovascular Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.