Active NPI
James Robert Headrick Jr., MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 24097
- Practice address
- 605 Glenwood Drive, Suite 105
CHI Memorial Thoracic Oncology Associates
Chattanooga, TN 37404 - Phone
- (423) 495-5864
- Fax
- (423) 495-2065
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 24097 | TN | Primary |
Addresses
Primary practice location
605 Glenwood Drive, Suite 105
CHI Memorial Thoracic Oncology Associates
Chattanooga, TN 37404
Mailing address
1949 Gunbarrel Road
Suite 230
Chattanooga, TN 37421
Phone (423) 495-4349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3073584 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
605 Glenwood Dr
Suite 105
Chattanooga, TN 37404-1151
Phone (423) 495-2555
Hospital & facility affiliations
- Commonspirit Health at Home - Chattanooga
- Memorial Healthcare System, Inc
- Parkridge Medical Center
- Affiliate of Vitruvian Health
- Rhea Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24097 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Care System Inc. | Past | Accepting new patients |
Locations
2501 Citico Ave
Fl 3
Chattanooga, TN 37404
Phone (423) 629-6550
1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
605 Glenwood Dr
Ste 105
Chattanooga, TN 37404
Phone (423) 495-3304
2108 E 3rd St
Ste 300
Chattanooga, TN 37404
Phone (423) 624-5200
2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318
Interoperability endpoints
- jamesheadrick@tnmhpf.allscriptsdirect.net
- jheadrick133452@direct.stlukeshealth.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
-
- Home Health Agency
- Chattanooga, TN
- NPI 1922362144
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- Critical Access Hospital
- Dayton, TN
- NPI 1811987084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104812817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 GUNBARREL ROAD",
"address_2": "SUITE 230",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-495-4349",
"fax_number": "423-495-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 GLENWOOD DRIVE, SUITE 105",
"address_2": "CHI MEMORIAL THORACIC ONCOLOGY ASSOCIATES",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37404",
"telephone_number": "423-495-5864",
"fax_number": "423-495-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADRICK",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "24097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3073584",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.