Active NPI
Jimbob Faulk, M.D.
- Vascular Surgery Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35500
- Practice address
- 4230 Harding Pike Ste 705
Nashville, TN 37205-2013 - Phone
- (615) 385-1547
- Fax
- (615) 297-9161
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Surgery Physician
- Nashville, TN
- NPI 1417983099
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1194862573
-
- Prosthetic/Orthotic Supplier
- Nashville, TN
- NPI 1306894399
-
- Community/Retail Pharmacy
- Nashville, TN
- NPI 1669519849
-
- Durable Medical Equipment & Medical Supplies
- Mt Juliet, TN
- NPI 1730130436
-
- Community/Retail Pharmacy
- Johnson City, TN
- NPI 1922814730
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1164595070
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1023066149
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Nashville, TN
- NPI 1336119627
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
Care Compare affiliation Hospital
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 PLLC
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
- Ascension Saint Thomas Hospital
- Saint Thomas Hospital for Spinal Surgery
- Saint Thomas Rutherford Hospital
- Vanderbilt Clarksville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Leg revascularization (restoring blood flow) | 29 |
| Removal of tissue | 13 |
| Removal of skin lesions | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050720000942 | TN | Practitioner - Vascular Surgery | 1355378480 | Reassigns benefits to 2 organizations |
| I20260408001759 | KY | Practitioner - Vascular Surgery | 1355378480 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61800 | KY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| The Surgical Clinic PLLC | Surgery | Current | Accepting new patients |
| Tennessee Oncology PLLC | Surgery | Current | 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
4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007
410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161
2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333
53 Century Blvd
Ste 120
Nashville, TN 37214
356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264
4230 Harding Pike
Ste 705
Nashville, TN 37205
410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722
1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481
Interoperability endpoints
- jimbob.faulk@tsclinic.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/IIJFBA
- jfaulk@direct.uspi.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 61800 | KY | |
| Surgery Physician | 208600000X | 35500 | TN | |
| Vascular Surgery Physician | 2086S0129X | 35500 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2026.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.