Individual provider Active NPI

Jimbob Faulk, M.D.

  • Vascular Surgery Physician
  • Nashville, TN
National Provider Identifier
1245237148
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35500 Issued in TN
Practice address
4230 Harding Pike Ste 705
Nashville, TN 37205-2013
Phone
(615) 385-1547
Fax
(615) 297-9161
NPI assigned
Jul 7, 2005
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 61800 KY
Surgery Physician 208600000X 35500 TN
Vascular Surgery Physician 2086S0129X 35500 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 705
Nashville, TN 37205-2013

Mailing address

4230 Harding Pike Ste 400
Nashville, TN 37205-4900
Phone (615) 385-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050720000942 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 1355378480 Reassigns benefits to 2 organizations
I20260408001759 KY Practitioner - Vascular Surgery 1355378480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (615) 329-7887

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)29
Removal of tissue13
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35500TNMDSurgery Physician
61800KYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC Surgery CurrentSince Apr 30, 2008 Accepting new patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
Saint Thomas West Hospital Past Accepting new patients

Locations

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

4230 Harding Pike
Ste 705
Nashville, TN 37205

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

53 Century Blvd
Ste 120
Nashville, TN 37214

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA
  • Direct secure messaging: jfaulk@direct.uspi.com
  • Direct secure messaging: jimbob.faulk@tsclinic.eclinicaldirectplus.com

Organizations & group practices 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1245237148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900",
            "telephone_number": "615-385-1547",
            "fax_number": "615-297-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 705",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-385-1547",
            "fax_number": "615-297-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "JIMBOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "61800",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "35500",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "35500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.