NPIMap

Individual provider Active NPI

James Darrel King, M.D.

  • Family Medicine Physician
  • Selmer, TN
National Provider Identifier
1144256157
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14266 Issued in TN
Practice address
1 Prime Care Dr
Selmer, TN 38375-1864
Phone
(731) 645-7932
Fax
(731) 645-5195
NPI assigned
Jun 23, 2006
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14266 TN Primary
Family Medicine Physician 207Q00000X 16404 MS

Addresses

Primary practice location

1 Prime Care Dr
Selmer, TN 38375-1864

Mailing address

1 Prime Care Dr
Selmer, TN 38375-1864
Phone (731) 645-7932

Other identifiers 6

IdentifierTypeStateIssuer
116900MedicaidTN
12048MedicaidTN
3123017OtherTNBLUE CROSS BLUE SHIELD S
3717101MedicaidTN
3123019OtherTNBLUE CROSS BLUE SHIELD H
3124181OtherTNBLUE CROSS BLUE SHIELD A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000398 TN Practitioner - Family Practice 1355447061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

270 E Court Ave
Suite B
Selmer, TN 38375-0000
Phone (731) 645-7932

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16404MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT University Medical Associates Inc Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
West Tennessee Medical Group Inc Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
University of Tennessee Family Medicine Current Accepting new patients
MHC, Inc Past Accepting new patients
Henderson Operating Group LLC Past Accepting new patients
Selmer SNF Healthcare LLC Past Accepting new patients
McNairy County Health Care Center LLC Past Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients
Todd's Discount Drugs Inc. PastSince Jan 10, 2021 Accepting new patients

Locations

710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383

10160 Highway 64
Bolivar, TN 38008
Phone (423) 975-5455

426 White Ave
Henderson, TN 38340
Phone (731) 989-2174

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

700 W Forest Ave
Fl 5
Jackson, TN 38301
Phone (731) 423-1932

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

Interoperability endpoints

  • Direct secure messaging: jking17028@directepic.wth.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maplewood Health Care CenterJackson, TN, CCN 445412 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 7, 2021
Mar 28, 2025
Laurelwood Health Care CenterJackson, TN, CCN 445413 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Mar 28, 2025
Henderson Health & Rehabilitation CenterHenderson, TN, CCN 445471 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 2, 2022
Mar 27, 2025
Selmer Post AcuteSelmer, TN, CCN 445452 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1144256157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRIME CARE DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751864",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRIME CARE DR",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751864",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JAMES",
        "middle_name": "DARREL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "14266",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116900",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12048",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD S",
            "identifier": "3123017",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD H",
            "identifier": "3123019",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD A",
            "identifier": "3124181",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

Verify at the official NPI Registry.