Individual provider Active NPI

Angeli Jain, MD

  • Family Medicine Physician
  • Dyersburg, TN
National Provider Identifier
1467594184
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41899 Issued in TN
Practice address
1445 US Highway 51 Byp E
Dyersburg, TN 38024-2127
Phone
(731) 286-1900
Fax
(731) 286-1939
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41899 TN Primary

Addresses

Primary practice location

1445 US Highway 51 Byp E
Dyersburg, TN 38024-2127

Mailing address

1445 US Highway 51 Byp E
Dyersburg, TN 38024-2127
Phone (731) 286-1900

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
I20090806000361 TN Practitioner - Family Practice 4880747914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Rite PLLCGroup PAC ID 7911160254, 8 clinicians

Practice addresses (Care Compare)

106 E Main St
Halls, TN 38040-1523
Phone (731) 836-9700

1445 Hwy 51 Bypass E
Dyersburg, TN 38024-2127

1445 US Hwy 51 Byp E
Dyersburg, TN 38024-2127
Phone (731) 286-1900

5111 Maryland Way
Suite 210
Brentwood, TN 37027-7513
Phone (615) 309-8959

521 Hwy 51 N
Suite a
Ripley, TN 38063-5903
Phone (731) 635-7000

Merit-based Incentive Payment System (MIPS)

Final score
58.05 of 100Reported as apm
Quality
70.8
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Rite, PLLC CurrentSince Jan 30, 2012 Accepting new patients
Care Rite PLLC Family Medicine CurrentSince Mar 23, 2012 Accepting new patients
West TN Medical, PLLC Past Accepting new patients

Locations

1445 US Highway 51 Byp E
#B
Dyersburg, TN 38024

1445 US Highway 51 Byp E
Dyersburg, TN 38024
Phone (731) 286-1900

106 E Main St
Halls, TN 38040
Phone (731) 836-9700

521 Highway 51 N
Ripley, TN 38063
Phone (731) 635-2000

521 Highway 51 N
Ste A
Ripley, TN 38063
Phone (731) 635-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEHIBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1467594184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANGELI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.