Individual provider Active NPI

Jason Hayes, D.O.

  • Psychiatry Physician
  • Johnson City, TN
National Provider Identifier
1053625640
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2890 Issued in TN
Practice address
109 W Watauga Ave
Johnson City, TN 37604-5621
Phone
(423) 232-2600
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 005953 AZ
Psychiatry Physician 2084P0800X 2890 TN Primary

Addresses

Primary practice location

109 W Watauga Ave
Johnson City, TN 37604-5621

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151028001140 TN Practitioner - PsychiatryPractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric Psychiatry 9739311309 Reassigns benefits to 1 organization
I20151208002846 VA Practitioner - Osteopathic Manipulative MedicinePractitioner - PsychiatryPractitioner - Geriatric Psychiatry 9739311309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Geriatric Psychiatry, Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

1006 US Hwy 23 N
Weber City, VA 24290-7021
Phone (276) 225-0976

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone (423) 232-2600

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2890TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Nov 30, 2015 Accepting new patients
Frontier Health CurrentSince Nov 30, 2015 Accepting new patients

Locations

1145 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 989-4500

426 E G St
Elizabethton, TN 37643
Phone (423) 547-5950

218 N Main Ave
Erwin, TN 37650
Phone (423) 741-8263

401 Holston Dr
Greeneville, TN 37743
Phone (423) 639-1104

607 Baxter St
Johnson City, TN 37601
Phone (423) 232-2670

109 W Watauga Ave
Johnson City, TN 37604
Phone (423) 232-2600

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

1570 Waverly Rd
Kingsport, TN 37664
Phone (423) 224-1300

318 Donnelly St
Mountain City, TN 37683
Phone (423) 727-2100

101 Lena Dr
Rogersville, TN 37857
Phone (423) 272-9239

210 River Rd
Sneedville, TN 37869
Phone (423) 733-2061

43 Champions Ave
Big Stone Gap, VA 24219
Phone (276) 523-0682

1431 Duff Patt Hwy
Duffield, VA 24244
Phone (276) 431-4370

34084 Wilderness Rd
Jonesville, VA 24263

1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1053625640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W WATAUGA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045621",
            "telephone_number": "423-232-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JASON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "005953",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.