Individual provider Active NPI

James Davis Tipton Jr., M.D.

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1558533620
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44052 Issued in KY
Practice address
4420 Dixie Hwy Ste 126
Louisville, KY 40216-2994
Phone
(502) 810-3780
Fax
(502) 394-3607
NPI assigned
Mar 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44052 KY Primary

Addresses

Primary practice location

4420 Dixie Hwy Ste 126
Louisville, KY 40216-2994

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 3

IdentifierTypeStateIssuer
135332OtherKYSIHO - NICC
K043420OtherKYMEDICARE - NICC
000000765950OtherKYANTHEM - NICC

Other names 1

  • Jimmy Tipton Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtipton11849@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150601001586 KY Practitioner - Pediatric Medicine 3678737350 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients

Locations

1301 Ring Rd
Elizabethtown, KY 42701
Phone (270) 765-2107

6801 Dixie Hwy
Ste 127
Louisville, KY 40258
Phone (502) 355-6339

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

4420 Dixie Hwy
Ste 126
Louisville, KY 40216
Phone (502) 810-3780

Organizations & group practices 4

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": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1558533620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DIXIE HWY STE 126",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162994",
            "telephone_number": "502-810-3780",
            "fax_number": "502-394-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "JAMES",
        "middle_name": "DAVIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-29",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "44052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NICC",
            "identifier": "135332",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - NICC",
            "identifier": "K043420",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NICC",
            "identifier": "000000765950",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtipton11849@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4420 Dixie Hwy Ste 126",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402162994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4420 Dixie Hwy Ste 126",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402162994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "TIPTON",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.