Individual provider Active NPI

Ronald Craig Bingham, MD

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
National Provider Identifier
1477521532
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD0000019569 Issued in TN
Practice address
3035 N Highland Ave
Jackson, TN 38305-3411
Phone
(731) 664-0899
Fax
(731) 664-0946
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X MD0000019569 TN
Physical Medicine & Rehabilitation Physician 208100000X MD0000019569 TN Primary
Electrodiagnostic Medicine Physician 204R00000X 13290 MS

Addresses

Primary practice location

3035 N Highland Ave
Jackson, TN 38305-3411

Mailing address

3035 N Highland Ave
Jackson, TN 38305-3411
Phone (731) 664-0899

Other practice location 1

640 US Highway 51 Byp E Ste D
Dyersburg, TN 38024-2067
Phone (800) 224-1807

Other practice location 2

1365 S Germantown Rd
Germantown, TN 38138-2225
Phone (800) 224-1807

Other practice location 3

634 Spicer Dr Ste A
Tupelo, MS 38804-1225
Phone (800) 224-1807

Other practice location 4

832 Mulberry Ave
Selmer, TN 38375-2334
Phone (800) 224-1807

Other practice location 5

391 Southcrest Cir Ste 104
Southaven, MS 38671-4775
Phone (800) 224-1807

Other practice location 6

1604 Leflore Ave
Greenwood, MS 38930-4027
Phone (800) 224-1807

Other practice location 7

430 S Lake St
Paris, TN 38242-4573
Phone (800) 224-1807

Other practice location 8

421 Henslee Dr
Dickson, TN 37055-2166
Phone (800) 224-1807

Other practice location 9

1720 E Reelfoot Ave
Union City, TN 38261-6047
Phone (800) 224-1807

Other identifiers 6

IdentifierTypeStateIssuer
3857438MedicaidTN
P00222025OtherTNRAILROAD MEDICARE NO
000000007457OtherTNTLC INDIVDUAL NO
4105383OtherTNBCBS OF TENNESSEE
000000165519OtherTNUNISON NO
165324700OtherTNUS DEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 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
I20050615000868 TN Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 1850289687 Reassigns benefits to 1 organization
I20090121000678 MS Practitioner - Physical Medicine and Rehabilitation 1850289687 Reassigns benefits to 1 organization
I20150217000515 AR Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 1850289687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Emg Clinics of Tennessee, PLLCGroup PAC ID 4981647641, 7 clinicians

Practice addresses (Care Compare)

3035 N Highland Ave
Jackson, TN 38305-3411

634 Spicer Dr
Suite a
Tupelo, MS 38804-1225
Phone (800) 224-1807

7640 Clarington CV
Suite B
Southaven, MS 38671-5652
Phone (800) 224-1807

8066 Walnut Run Rd
Suite 101
Cordova, TN 38018-8842
Phone (800) 224-1807

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

State licenses

LicenseStateTypeSpecialty
MD0000019569TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Associates PC Past Accepting new patients
BMG Family Physicians Group Foundation, Inc PastSince Mar 1, 2013 Accepting new patients
Lexington Clinic Corp Past Accepting new patients
Family Physicians Group PC Past Accepting new patients
Gericare, LLC Past Accepting new patients
Trinity Medical Clinic, LLC PastSince Feb 16, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/

Organizations & group practices 7

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1477521532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-664-0899",
            "fax_number": "731-664-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-664-0899",
            "fax_number": "731-664-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 US Highway 51 Byp E Ste D",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242067",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1365 S Germantown Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382225",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "634 Spicer Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388041225",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "832 Mulberry Ave",
            "address_purpose": "LOCATION",
            "city": "Selmer",
            "state": "TN",
            "postal_code": "383752334",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Southcrest Cir Ste 104",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714775",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Leflore Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "MS",
            "postal_code": "389304027",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 S Lake St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424573",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Henslee Dr",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552166",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 E Reelfoot Ave",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382616047",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "RONALD",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "TN",
            "license": "MD0000019569",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD0000019569",
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "MS",
            "license": "13290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3857438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NO",
            "identifier": "P00222025",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC INDIVDUAL NO",
            "identifier": "000000007457",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4105383",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON NO",
            "identifier": "000000165519",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "165324700",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.