Active NPI
James Davis Tipton Jr., M.D.
- Pediatrics Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 44052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135332 | Other | KY | SIHO - NICC |
| K043420 | Other | KY | MEDICARE - NICC |
| 000000765950 | Other | KY | ANTHEM - NICC |
Other names 1
- Jimmy Tipton
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Pediatrics | Current | 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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
dba Norton Children's Medical Group
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.