Remy A Valdivia, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

37511 Issued in TN

Practice address

3363 N Highland Ave
Jackson, TN 38305-3487

Phone

(731) 668-9899

Fax

(731) 660-2121

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emg Clinics of Tennessee, PLLCGroup PAC ID 4981647641, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Emg Clinics of Tennessee PLLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1962597492
  Medicare reassignment Care Compare group
• Emg Specialty Clinics, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1043242548
  Authorized official Same address or phone

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457383952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383550419",
            "telephone_number": "731-668-9899",
            "fax_number": "731-660-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053487",
            "telephone_number": "731-668-9899",
            "fax_number": "731-660-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "REMY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "37511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "4116255",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Marie Utley, OTR/L
• Jennifer Utley, MD
• Nancy Parrish Utley, M.D.
• Binita Dipak Vadhar, MD
• Elizabeth Ann Vailes, CASE MANAGER
• Carole R Valencia, CM
• Valley Grove Inpatient Services, PLLC
• Nicholas G Vance, MD
• Chris Vandiver
• Vantreese Discount Pharmacy Inc

• Physical Medicine & Rehabilitation Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.