Active NPI
John D Valentine
- Surgery Physician
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 42430
- Practice address
- 107 Glen Oak Blvd Ste 201a
Hendersonville, TN 37075-3000 - Phone
- (615) 757-3451
- Fax
- (615) 757-3296
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 27697 | SC | |
| Surgery Physician | 208600000X | 42430 | TN | Primary |
Addresses
Primary practice location
107 Glen Oak Blvd Ste 201a
Hendersonville, TN 37075-3000
Mailing address
107 Glen Oak Blvd Ste 201a
Hendersonville, TN 37075-3000
Phone (615) 757-3451
Other practice location 1
410 42nd Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q059943 | Medicaid | TN | |
| 3000357 | 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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333
Hospital & facility affiliations
- Tristar Hendersonville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.69 of 100
- Quality
- 70.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 108 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 22 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42430 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology PLLC | Surgery | Current | Accepting new patients |
| The Surgical Clinic PLLC | Surgery | Current | Accepting new patients |
Locations
107 Glen Oak Blvd
Ste 201A
Hendersonvlle, TN 37075
Phone (615) 757-3451
410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161
2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333
4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007
410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722
356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264
1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIJFBA
Organizations & group practices 2
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.
-
- Surgery Physician
- Nashville, TN
- NPI 1417983099
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1437178787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 GLEN OAK BLVD STE 201A",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753000",
"telephone_number": "615-757-3451",
"fax_number": "615-757-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GLEN OAK BLVD STE 201A",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753000",
"telephone_number": "615-757-3451",
"fax_number": "615-757-3296"
}
],
"practiceLocations": [
{
"address_1": "410 42nd Ave N Ste 400",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372093658",
"country_code": "US",
"telephone_number": "615-329-7887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTINE",
"first_name": "JOHN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "27697",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "42430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q059943",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000357",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.