Active NPI
Dustin P Inman, MD
- Family Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD37534
- Practice address
- 648 W Forest Ave
Jackson, TN 38301-3902 - Phone
- (731) 422-0276
- Fax
- (731) 422-0432
- NPI assigned
- Mar 7, 2006
- Last updated
- Nov 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD37534 | TN | Primary |
Addresses
Primary practice location
648 W Forest Ave
Jackson, TN 38301-3902
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3887537 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
172 W University Pkwy
Suite a
Jackson, TN 38305-1622
Phone (731) 201-5590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37534 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Quality Care PLLC | Current | Accepting new patients | |
| Spero Health of Tennessee, LLC | Current | Accepting new patients | |
| Atlas Health, PLLC | Family Medicine | Current | Accepting new patients |
| Decatur County General Hospital | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Serenityrecovery Centers, Inc. | Past | Accepting new patients | |
| Jackson Clinic PA | Past | Accepting new patients | |
| Memphis Urgent Care #2 LLC | Past | Accepting new patients | |
| Physicians Quality Care PLLC | Past | Accepting new patients | |
| Memphis Urgent Care #2, LLC. | Family Medicine | Past | Accepting new patients |
Locations
155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359
433 E Parkview St
Dyersburg, TN 38024
Phone (731) 285-2062
172 W University Pkwy
Ste A
Jackson, TN 38305
Phone (731) 201-5590
2075 Pleasant Plains Ext Rd
#R
Jackson, TN 38305
Phone (731) 984-8400
14 N McLean Blvd
Memphis, TN 38104
Phone (901) 509-2738
301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/sperohealth/r4/
Organizations & group practices 11
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Smyrna, TN
- NPI 1538628904
-
- Family Medicine Physician
- Memphis, TN
- NPI 1962845503
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1528240256
-
dba Bolivar ER
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
-
dba West Tennessee Healthcare Bolivar Hospital
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- General Acute Care Hospital
- Parsons, TN
- NPI 1104804566
-
dba Jackson Clinc PA DME
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
-
dba Urgent Care of Saint Francis
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1720672025
-
dba Urgent Care of Saint Francis
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1912565326
Family Medicine
-
- Rural Health Clinic/Center
- Milan, TN
- NPI 1821906173
-
- Substance Abuse Rehabilitation Facility
- Memphis, TN
- NPI 1629131297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1275500407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013902",
"telephone_number": "731-422-0276",
"fax_number": "731-422-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "DUSTIN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD37534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3887537",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
- Divya Lakshmi Indrakanti, MD
- Infectious Disease Consultants of Jackson, PC
- Infinite Rehab and Wellness LLC
- Lakisha T Ingram, B.A
- Alissa Carol Inman, P.T.
- Innovative Physical Therapy
- Institute of Sleep Wellness, LLC
- Integrated Medical Staff of Jackson PC
- Integrity Remodling LLC (Jackson Medical)
- Internal Medicine Clinic of Jackson PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.