NPIMap

Individual provider Active NPI

Jason Shipman, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1306993282
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38985 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38985 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other practice location 1

4488 Carothers Pkwy Ste 110
Franklin, TN 37067-6584
Phone (615) 320-7387

Other practice location 2

103 Physicians Way Ste 100
Lebanon, TN 37090-4129
Phone (615) 443-7436

Other practice location 3

2018 Murphy Ave Ste 200
Nashville, TN 37203-1929
Phone (615) 320-7387

Other identifiers 1

IdentifierTypeStateIssuer
1512037MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090731000082 TN Practitioner - Diagnostic Radiology 6901959402 Reassigns benefits to 8 organizations
I20141217002420 KY Practitioner - Diagnostic Radiology 6901959402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Diagnostic X-Ray Physicians, PSCGroup PAC ID 1355239534, 36 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians
SMB Radiology P aGroup PAC ID 9234136060, 22 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

2128 Hillsboro Valley Rd
Brentwood, TN 37027-5413
Phone (502) 447-8786

2221 Murphy Ave
Nashville, TN 37203-1538
Phone (615) 324-2192

229 Gillette Dr
Franklin, TN 37069-4115
Phone (228) 762-1353

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1000

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.74

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance CT Diagnostic Radiology CurrentSince Jul 10, 2010 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
SMB Radiology P a Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Tennessee Oncology,PLLC Diagnostic Radiology CurrentSince May 1, 2012 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 10, 2010 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Diagnostic X-Ray Physicians, PSC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince May 1, 2012 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Dec 21, 2024 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 70)

2021 Mercy Way
Ste 102
Jeffersonville, IN 47130
Phone (812) 218-4630

130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

157 Towne Dr
Ste 101
Elizabethtown, KY 42701
Phone (270) 740-5201

9344 Cedar Center Way
Louisville, KY 40291
Phone (502) 753-3390

5129 Dixie Hwy
Ste 100
Louisville, KY 40216
Phone (502) 447-3242

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

3991 Dutchmans Ln
Ste 208
Louisville, KY 40207
Phone (502) 897-2440

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

14231 Seaway Rd
Ste 5003
Gulfport, MS 39503
Phone (228) 864-4392

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

Organizations & group practices 12

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.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1306993282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4488 Carothers Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676584",
            "country_code": "US",
            "telephone_number": "615-320-7387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Physicians Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904129",
            "country_code": "US",
            "telephone_number": "615-443-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2018 Murphy Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031929",
            "country_code": "US",
            "telephone_number": "615-320-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "38985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512037",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.