Active NPI
James R Appleton Jr., MD
- Urology Physician
- Jackson, TN
National Provider Identifier
1306831425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4495
- Practice address
- 616 W Forest Ave
Jackson, TN 38301-3902 - Phone
- (731) 422-0292
- Fax
- (731) 422-0402
- NPI assigned
- Sep 14, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4495 | TN | Primary |
Addresses
Primary practice location
616 W Forest Ave
Jackson, TN 38301-3902
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020016408 | Other | TN | RR MEDICARE |
| 3175408 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000651 | TN | Order and Referring Only - Addiction Medicine | 9638210529 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1306831425",
"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": "616 W FOREST AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013902",
"telephone_number": "731-422-0292",
"fax_number": "731-422-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLETON",
"first_name": "JAMES",
"middle_name": "R",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "4495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "020016408",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3175408",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.