Individual provider Active NPI

John Baker, MD

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1003801796
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28097 Issued in TN
Practice address
587 Skyline Dr
Jackson, TN 38301-3938
Phone
(731) 421-6510
Fax
(731) 421-6500
NPI assigned
Sep 19, 2005
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28097 TN Primary

Addresses

Primary practice location

587 Skyline Dr
Jackson, TN 38301-3938

Mailing address

587 Skyline Dr
Jackson, TN 38301-3938
Phone (731) 421-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000109 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5395744775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (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 IncGroup PAC ID 3971781006, 190 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28097TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Jackson Surgical Associates. PA 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

1716 Parr Ave
Ste C
Dyersburg, TN 38024
Phone (731) 285-2324

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

700 W Forest Ave
Fl 33
Jackson, TN 38301

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

405 Tyson Ave
Paris, TN 38242
Phone (731) 394-3499

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1003801796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013938",
            "telephone_number": "731-421-6510",
            "fax_number": "731-421-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013938",
            "telephone_number": "731-421-6510",
            "fax_number": "731-421-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "28097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.