Individual provider Active NPI

John W Vinson, M.D.

  • Family Medicine Physician
  • Adamsville, TN
National Provider Identifier
1063449007
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29859 Issued in TN
Practice address
345 US Highway 64
Adamsville, TN 38310-4078
Phone
(731) 632-3383
Fax
(731) 632-3762
NPI assigned
Jun 26, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29859 TN Primary

Addresses

Primary practice location

345 US Highway 64
Adamsville, TN 38310-4078

Mailing address

345 US Highway 64
Adamsville, TN 38310-4078
Phone (731) 632-3383

Other identifiers 6

IdentifierTypeStateIssuer
3124803OtherTNBLUE CROSS BLUE SHIELD A
3130493OtherTNBLUE CROSS BLUE SHIELD S
3130495OtherTNBLUE CROSS BLUE SHIELD H
3717101MedicaidTN
12104MedicaidTN
115572MedicaidTN

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
I20101029000894 TN Practitioner - Family Practice 8527164235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1996
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)

270 E Court Ave
Suite B
Selmer, TN 38375-0000
Phone (731) 645-7932

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
Melanoma (skin cancer) excision1-10
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21247FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients
Todd's Discount Drugs Inc. PastSince Jan 10, 2021 Accepting new patients

Locations

710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383

426 White Ave
Henderson, TN 38340
Phone (731) 989-2174

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

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

Interoperability endpoints

  • Direct secure messaging: jvinson18683@directepic.wth.org

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 6

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1063449007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 US HIGHWAY 64",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383104078",
            "telephone_number": "731-632-3383",
            "fax_number": "731-632-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 US HIGHWAY 64",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383104078",
            "telephone_number": "731-632-3383",
            "fax_number": "731-632-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "29859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD A",
            "identifier": "3124803",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD S",
            "identifier": "3130493",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD H",
            "identifier": "3130495",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717101",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12104",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115572",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, TN

Sources for this page

Verify at the official NPI Registry.