NPIMap

Individual provider Active NPI

John S. Jaggers III, M.D.

  • Pulmonary Disease Physician
  • Cleveland, TN
National Provider Identifier
1568403178
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
014978 Issued in TN
Practice address
110 Dunhill PL NW
Cleveland, TN 37311-3883
Phone
(423) 476-2212
Fax
(423) 476-7022
NPI assigned
Jun 8, 2006
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 014978 TN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 014978 TN

Addresses

Primary practice location

110 Dunhill PL NW
Cleveland, TN 37311-3883

Mailing address

110 Dunhill PL NW
Cleveland, TN 37311-3883
Phone (423) 476-2212

Other identifiers 3

IdentifierTypeStateIssuer
3702756OtherTNMEDICARE GROUP NUMBER
3021619MedicaidTN
621482378OtherTNBLUE RDG PUL MED TX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000289 TN Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 9032122320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
University of Tennessee, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Pulmonary Medicine, PCGroup PAC ID 3678586963, 4 clinicians

Practice addresses (Care Compare)

110 Dunhill PL NW
Cleveland, TN 37311-3883

110 Dunhill Place NW
Cleveland, TN 37311-3883
Phone (423) 476-2212

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.2 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Pulmonary Medicine, PC Pulmonary Disease CurrentSince Jul 1, 1988 Accepting new patients
Blue Ridge Gastroenterology, PC Past Accepting new patients

Locations

110 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 476-2212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1568403178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113883",
            "telephone_number": "423-476-2212",
            "fax_number": "423-476-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113883",
            "telephone_number": "423-476-2212",
            "fax_number": "423-476-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGERS",
        "first_name": "JOHN",
        "middle_name": "S.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "014978",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "014978",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3702756",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021619",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE RDG PUL MED TX ID",
            "identifier": "621482378",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.