Individual provider Active NPI

John Spencer Jensen, M.D.

  • Pulmonary Disease Physician
  • Columbia, TN
National Provider Identifier
1124246681
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
47816 Issued in TN
Practice address
1222 Trotwood Ave
Suite 503
Columbia, TN 38401-6436
Phone
(931) 490-7775
Fax
(931) 490-7797
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 47816 TN Primary
Internal Medicine Physician 207R00000X 47816 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 47816 TN

Addresses

Primary practice location

1222 Trotwood Ave
Suite 503
Columbia, TN 38401-6436

Mailing address

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone (931) 490-7775

Other identifiers 1

IdentifierTypeStateIssuer
3710089MedicaidTN

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
I20120123000276 TN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4789851346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241

1090 N Ellington Pkwy
Lewisburg, TN 37091-2227

1224 N Trotwood Ave
Columbia, TN 38401-4802

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

854 W James Campbell
Suite 303
Columbia, TN 38401-4672

854 W James Campbell Blvd
Columbia, TN 38401-4672
Phone (931) 388-8779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.45 of 100Reported as group
Quality
42.88
Promoting interoperability
77
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47816TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Marshall Medical Center CurrentSince Jan 1, 2012 Accepting new patients
Maury Regional Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Maury Regional Hospital Marshall Medical Center Past Accepting new patients

Locations

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

1222 Trotwood Ave
Ste 503
Columbia, TN 38401
Phone (931) 380-9166

1222 Trotwood Ave
Ste 108
Columbia, TN 38401
Phone (931) 380-4066

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

103 Jv Mangubat Dr
Waynesboro, TN 38485
Phone (931) 722-3404

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1124246681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-490-7775",
            "fax_number": "931-490-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE",
            "address_2": "SUITE 503",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016436",
            "telephone_number": "931-490-7775",
            "fax_number": "931-490-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JOHN",
        "middle_name": "SPENCER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "47816",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "47816",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "47816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.