Active NPI
James Roy Appleton III, MD
- Addiction Medicine (Family Medicine) Physician
- Jackson, TN
National Provider Identifier
1114981560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 56098
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514036 | Medicaid | TN | |
| 382172 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124000698 | TN | Order and Referring Only - Family Practice | 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Specialists of Mid South, LLC | Current | 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
- 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.
-
dba Mid South Recovery
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- NPI 1417599747
-
- Family Medicine Physician
- Lexington, TN
- NPI 1265660708
-
- Family Medicine Physician
- Jackson, TN
- NPI 1992436554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.