John W Hale Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Union City, TN
NPI 1104806413 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1104806413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19519 (TN)
- Practice address
- 1412 E Reelfoot Ave
Union City, TN 38261-5813 - Phone
- (731) 885-5131
- Fax
- (731) 885-5335
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- East Tennessee State University Quillen College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Medical Group, Inc.
Practice addresses (Care Compare)
1412 E Reelfoot Ave
Union City, TN 38261-5813
Phone (731) 885-5131
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
Hospital & facility affiliations
- Volunteer Home Care
- Tennessee Quality Care - Home Health
- Adoration Home Health Martin
- Amedisys Home Health Care
- Extendicare Home Health of Western TN
- Baptist Memorial Hospital Union City
- Jackson-Madison County General Hospital
- Baptist Memorial Hospital - Carroll County
- Union City Health and Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 21 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 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
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Union City Health and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100701000356 | TN | Practitioner - Family Practice | 7416088646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19519 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Turner Healthcare, Inc. | Past | Accepting new patients | |
| Union City Nursing and Rehabilitation Center LLC | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466
1020 E Reelfoot Ave
Union City, TN 38261
Phone (731) 885-5131
1412 E Reelfoot Ave
Union City, TN 38261
Phone (731) 885-5131
Interoperability endpoints
- jhale4598@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19519 | TN | Yes |
Addresses
Primary practice location
1412 E Reelfoot Ave
Union City, TN 38261-5813
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Other providers in Union City, TN
- Lalchand T Goyal
- Molly Green
- Brady McCall Greer
- Grover F Schleifer III MD PC
- Ashley Gullett
- James C Hall
- James D Hall
- Marlina Danielle Hall
- Hanger Prosthetics & Orthotics Inc
- Karen Delane Hanks
All providers in Union City, TN · Family Medicine 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 11, 2020. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.