Individual provider Active NPI

John B Bates, M.D.

  • Pediatrics Physician
  • Union City, TN
National Provider Identifier
1265631329
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
42330 Issued in TN
Practice address
1117 S Miles Ave
Suite 3
Union City, TN 38261-5439
Phone
(731) 885-4338
Fax
(731) 885-4339
NPI assigned
Jul 17, 2007
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 42330 TN Primary

Addresses

Primary practice location

1117 S Miles Ave
Suite 3
Union City, TN 38261-5439

Mailing address

1117 S Miles Ave
Suite 3
Union City, TN 38261-5439
Phone (731) 885-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42330TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Place of Union City LLC Pediatrics Current Accepting new patients
Baptist Memorial Hospital- Union City Inc Past Accepting new patients

Locations

1117 S Miles Ave
Ste 3
Union City, TN 38261
Phone (731) 885-4338

1345 Edwards St
Union City, TN 38261
Phone (731) 885-4338

Interoperability endpoints

  • Direct secure messaging: johnbatesmd@pediatricplaceuc.opdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1265631329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S MILES AVE",
            "address_2": "SUITE 3",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615439",
            "telephone_number": "731-885-4338",
            "fax_number": "731-885-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILES AVE",
            "address_2": "SUITE 3",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615439",
            "telephone_number": "731-885-4338",
            "fax_number": "731-885-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "42330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.