Individual provider Active NPI

Christopher E Rickman, MD

  • Obstetrics & Gynecology Physician
  • Jackson, TN
National Provider Identifier
1386845782
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
47316 Issued in TN
Practice address
657 Skyline Dr
Jackson, TN 38301-3903
Phone
(731) 541-8425
Fax
(731) 541-8420
NPI assigned
May 31, 2007
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 47316 TN Primary

Addresses

Primary practice location

657 Skyline Dr
Jackson, TN 38301-3903

Mailing address

244 Coatsland Dr
Jackson, TN 38301-3948
Phone (731) 422-5496

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
I20110801000009 TN Practitioner - Obstetrics/Gynecology 1355519729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womans Clinic a Professional AssociationGroup PAC ID 1355308677, 15 clinicians

Practice addresses (Care Compare)

244 Coatsland Dr
Jackson, TN 38301-3948
Phone (731) 422-4642

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinic PA Obstetrics & Gynecology CurrentSince Dec 1, 2020 Accepting new patients
Jackson Clinic PA CurrentSince Dec 1, 2020 Accepting new patients
Womans Clinic a Professional Association Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients

Locations

244 Coatsland Dr
Jackson, TN 38301
Phone (731) 422-4642

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375

Interoperability endpoints

  • Direct secure messaging: crickman32678@directepic.wth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1386845782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 COATSLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013948",
            "telephone_number": "731-422-5496",
            "fax_number": "731-422-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-541-8425",
            "fax_number": "731-541-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "47316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.