Individual provider Active NPI

John William Beddies, MD

  • Urology Physician
  • Paris, TN
National Provider Identifier
1063642403
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
82716 Issued in TN
Practice address
1002 Cornerstone Dr Ste a
Paris, TN 38242-5846
Phone
(731) 642-8884
Fax
(731) 642-8865
NPI assigned
Jul 20, 2009
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TN
Urology Physician 208800000X 82716 TN Primary

Addresses

Primary practice location

1002 Cornerstone Dr Ste a
Paris, TN 38242-5846

Mailing address

1035 Anderson Dr
Paris, TN 38242-9561
Phone (210) 740-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI2 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
I20150707002192 TN Practitioner - Urology 1456593896 Reassigns benefits to 2 organizations
I20250430000823 MI Practitioner - Urology 1456593896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
East Tennessee State University Quillen College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

1002 Cornerstone Dr
Paris, TN 38242-5845
Phone (731) 642-8884

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

164 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 642-8884

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

416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777

560 W Mitchell St
Petoskey, MI 49770-2276

560 W Mitchell St
Suite 340
Petoskey, MI 49770-2277
Phone (231) 487-3182

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

740 S Main St
Cheboygan, MI 49721-2220

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

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as apm
Quality
65.16
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82716TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Henry County Medical Center CurrentSince May 1, 2015 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Henry County Medical Center CurrentSince May 1, 2015 Accepting new patients
McLaren Central Michigan CurrentSince Apr 9, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Apr 9, 2025 Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

560 W Mitchell St
Ste 340
Petoskey, MI 49770
Phone (231) 348-9710

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

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

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

1002 Cornerstone Dr
Paris, TN 38242
Phone (731) 642-8884

1002 Cornerstone Dr
Ste A
Paris, TN 38242
Phone (731) 642-8884

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • Direct secure messaging: jbeddies@hcmcclinics.gwaydirect.com

Organizations & group practices 7

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1063642403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ANDERSON DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382429561",
            "telephone_number": "210-740-7131",
            "fax_number": "731-642-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CORNERSTONE DR STE A",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425846",
            "telephone_number": "731-642-8884",
            "fax_number": "731-642-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDIES",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "82716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.