Richard A. Bagby Jr., M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MDO11925 Issued in TN

Practice address

183 Hospital Rd
Ste G
Winchester, TN 37398-2470

Phone

(931) 962-2272

Fax

(931) 962-8588

NPI assigned

Aug 31, 2005

Last updated

Sep 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Richard a Bagby Jr MD PC

  • Orthopaedic Surgery Physician
  • Winchester, TN
  • NPI 1629246996
  Authorized official Same address or phone
• Amg Southern Tennessee, LLC

  dba Southern Tennessee Pulmonary Medicine

  • Pulmonary Disease Physician
  • Winchester, TN
  • NPI 1417299744
  NPD
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Winchester With Ascension Saint Thomas

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  NPD
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1164415543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "STE G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982470",
            "telephone_number": "931-962-2272",
            "fax_number": "931-967-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "STE G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982470",
            "telephone_number": "931-962-2272",
            "fax_number": "931-962-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MDO11925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE TENNCARE",
            "identifier": "621117715",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009891",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2009891",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "407202037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry S Anderson, DC
• Jasmine Jara Arellano, PHARMD
• Kyle Ashby, PHARM.D.T
• Ashley Dewitt DO PC
• Eva Marie Austin, OTR
• Bailey Manor Winchester
• Ballard Family Medical, Inc (Ballard Family Medical)
• Brandy Denise Ballard, N.P.
• Sherry Barstad, APN
• Nathan W Barstow, MSPT

• Orthopaedic Surgery Physician in Winchester, TN
• Providers in Winchester, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.

Verify at the official NPI Registry.