Active NPI
James Danny Panetta Jr., D.O.
- Gastroenterology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5765
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- NPI assigned
- Feb 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5765 | TN | Primary |
| Gastroenterology Physician | 207RG0100X | 4543 | AZ |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
642 Ulukahiki St
Suite 302
Kailua, HI 96734-4400
Phone (808) 440-6789
Other practice location 2
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, OR, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- West Virginia School of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000
3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000
401 E Cheves St
Suite 301
Florence, SC 29506-2615
Phone (843) 777-7166
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- Asante Rogue Regional Medical Center
- Sacred Heart Medical Center - Riverbend
- Lovelace Westside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 57 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5765 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Asante | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Gastroenterology | Current | Accepting new patients |
| Asante | Current | Accepting new patients | |
| Kailua Ear, Nose and Throat LLC | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
506 E Cheves St
#202
Florence, SC 29506
401 E Cheves St
Ste 301
Florence, SC 29506
Phone (843) 777-7166
Interoperability endpoints
- jpanetta664754@direct.peacehealth.org
- jpanetta1092791@ahs.direct-ci.com
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Gastroenterology
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
-
- Hospitalist Physician
- Springfield, OR
- NPI 1740223874
-
- Specialty Pharmacy
- Medford, OR
- NPI 1699426684
-
- Urgent Care Clinic/Center
- Florence, SC
- NPI 1104035492
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Specialist
- Kailua, HI
- NPI 1538512041
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1376721142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-1121"
}
],
"practiceLocations": [
{
"address_1": "642 Ulukahiki St",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Kailua",
"state": "HI",
"postal_code": "967344400",
"country_code": "US",
"telephone_number": "808-440-6789",
"fax_number": "808-440-6777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANETTA",
"first_name": "JAMES",
"middle_name": "DANNY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "5765",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "4543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.