Individual provider Active NPI

Jeremiah Holman Wright, M.D.

  • Diagnostic Radiology Physician
  • Jackson, TN
National Provider Identifier
1437288016
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48222 Issued in TN
Practice address
620 Skyline Drive
Jackson, TN 38301-3901
Phone
(731) 541-6174
Fax
(731) 541-8008
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 48222 TN Primary

Addresses

Primary practice location

620 Skyline Drive
Jackson, TN 38301-3901

Mailing address

PO Box 11955
Suite a
Jackson, TN 38301-3901
Phone (888) 630-0845

Other practice location 1

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350

Other identifiers 2

IdentifierTypeStateIssuer
P01092898OtherTNRAILROAD MEDICARE
1529425MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120801000478 TN Practitioner - Diagnostic Radiology 8729244017 Reassigns benefits to 4 organizations
I20221118001966 AR Practitioner - Diagnostic Radiology 8729244017 Reassigns benefits to 2 organizations
I20221118002512 MS Practitioner - Diagnostic Radiology 8729244017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Imaging and Therapeutics, P.a.Group PAC ID 9133106396, 69 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians
Northeast Arkansas Clinic Charitable Foundation, Inc.Group PAC ID 2961547526, 294 clinicians
West Tennessee Imaging LLCGroup PAC ID 3173834215, 37 clinicians

Practice addresses (Care Compare)

1500 W Poplar
Collierville, TN 38017-0601
Phone (901) 850-2128

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-3424

3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6230
Phone (731) 986-2933

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-0140

555 Perkins Ext
Suite 100
Memphis, TN 38117-4413
Phone (800) 475-3698

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-9000

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

7600 Wolf River Blvd
Germantown, TN 38138-1785
Phone (901) 312-4033

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478

8000 Centerview Pkwy
Suite 101
Cordova, TN 38018-4225
Phone (901) 747-1111

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 747-1000

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Oct 19, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Professional Imaging of Tennessee CurrentSince May 30, 2019 Accepting new patients
West Tennessee Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Oct 19, 2024 Accepting new patients

Locations

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 286-1115

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

7600 Wolf River Blvd
Memphis, TN 38138
Phone (615) 550-6049

7600 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 312-4033

7600 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 747-1000

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Organizations & group practices 9

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 5

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1437288016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11955",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013901",
            "telephone_number": "888-630-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013901",
            "telephone_number": "731-541-6174",
            "fax_number": "731-541-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "fax_number": "901-757-3496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JEREMIAH",
        "middle_name": "HOLMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "48222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01092898",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529425",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.