Individual provider Active NPI

James C Hall, M.D.

  • Cardiovascular Disease Physician
  • Union City, TN
National Provider Identifier
1205884376
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD17501 Issued in TN
Practice address
1304 Medical Park Cir
Union City, TN 38261-5876
Phone
(731) 886-1212
Fax
(731) 886-1220
NPI assigned
May 4, 2006
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17501 TN
Cardiovascular Disease Physician 207RC0000X MD17501 TN Primary

Addresses

Primary practice location

1304 Medical Park Cir
Union City, TN 38261-5876

Mailing address

1304 Medical Park Cir
Union City, TN 38261-5876
Phone (731) 886-1212

Other identifiers 2

IdentifierTypeStateIssuer
3024503MedicaidTN
621634919OtherTNTAX ID

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
I20050714000984 TN Practitioner - Cardiovascular Disease (Cardiology) 3678509288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1304 Medical Park Cir
Union City, TN 38261-5876
Phone (731) 886-1212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
93.33
Improvement activities
40
Cost
72.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17501TNMDSpecialist
MD17501TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Tennessee Cardiology Clinic, P. C. Specialist CurrentSince Apr 1, 1996 Accepting new patients

Locations

1304 Medical Park Cir
Union City, TN 38261
Phone (731) 886-1212

Interoperability endpoints

  • Direct secure messaging: northwesttennesseecardiologyclinic.jameshall@140018.advancedmd-direct.com

Organizations & group practices 1

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 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1205884376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MEDICAL PARK CIR",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615876",
            "telephone_number": "731-886-1212",
            "fax_number": "731-886-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MEDICAL PARK CIR",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615876",
            "telephone_number": "731-886-1212",
            "fax_number": "731-886-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "17501",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD17501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3024503",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621634919",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.