Individual provider Active NPI

Dustin P Inman, MD

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1275500407
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD37534 Issued in TN
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3887537MedicaidTN

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
I20040115000888 TN Practitioner - Family Practice 7113828872 Reassigns benefits to 1 organization

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
Spero Health of Tennessee, LLCGroup PAC ID 0941683593, 21 clinicians

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

LicenseStateTypeSpecialty
MD37534TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Quality Care PLLC CurrentSince Feb 13, 2022 Accepting new patients
Spero Health of Tennessee, LLC CurrentSince May 12, 2022 Accepting new patients
Atlas Health, PLLC Family Medicine CurrentSince May 19, 2018 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 PastSince Mar 4, 2021 Accepting new patients
Physicians Quality Care PLLC Past Accepting new patients
Memphis Urgent Care #2, LLC. Family Medicine PastSince Feb 14, 2021 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.