Individual provider Active NPI

James Roy Appleton III, MD

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, TN
National Provider Identifier
1114981560
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
56098 Issued in TN
Practice address
164 W University Pkwy Ste a
Jackson, TN 38305-1621
Phone
(731) 215-1135
Fax
(731) 410-6156
NPI assigned
Apr 13, 2006
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 56098 TN Primary

Addresses

Primary practice location

164 W University Pkwy Ste a
Jackson, TN 38305-1621

Mailing address

18 Golden Pond CV
Jackson, TN 38305-7564
Phone (731) 307-7312

Other identifiers 2

IdentifierTypeStateIssuer
1514036MedicaidTN
382172MedicaidTN

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
I20240124000698 TN Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Addiction Medicine 2567360100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Specialists of Mid South, LLC CurrentSince Mar 27, 2022 Accepting new patients
Lexington Family Physicians LLC Family Medicine Past Accepting new patients
Volunteer Family Medicine & Urgent Care, LLC Family Medicine Past Accepting new patients

Locations

164 W University Pkwy
Ste A
Jackson, TN 38305
Phone (731) 215-1135

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27060/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1114981560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GOLDEN POND CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057564",
            "telephone_number": "731-307-7312",
            "fax_number": "731-410-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W UNIVERSITY PKWY STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051621",
            "telephone_number": "731-215-1135",
            "fax_number": "731-410-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLETON",
        "first_name": "JAMES",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "56098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514036",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382172",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.