Organization Active NPI

Care Rite PLLC

  • Family Medicine Physician
  • Dyersburg, TN
National Provider Identifier
1477827418
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE RITE PLLC
Practice address
1445 US Highway 51 Byp E
Dyersburg, TN 38024-2127
Phone
(731) 445-4988
NPI assigned
Mar 7, 2012
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Angeli Jain, MDNPI 1467594184
Title
Owner
Phone
(731) 286-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 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) 445-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120523000524 TN Part B Supplier - Clinic/Group Practice 7911160254 Receives reassigned benefits from 10 practitioners
Practice locations: Humboldt, TN; Union City, TN; Ripley, TN; Jonesboro, AR; Halls, TN; Dyersburg, TN; Brentwood, TN
O20150205002538 TN DME Supplier - Physician - Family Practice 7911160254 Practice locations: Dyersburg, TN

National Provider Directory

National Provider Directory

Locations

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

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

106 W Main St
Halls, TN 38040

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1477827418",
    "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": "731-445-4988"
        },
        {
            "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": "731-445-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ANGELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-286-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.