Individual provider Active NPI

John D Valentine

  • Surgery Physician
  • Hendersonville, TN
National Provider Identifier
1437178787
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42430 Issued in TN
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

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q059943MedicaidTN
3000357MedicaidTN

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
I20070816000593 TN Practitioner - General Surgery 5698867935 Reassigns benefits to 2 organizations

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
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)22
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux37
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42430TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC Surgery CurrentSince Sep 1, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.