NPIMap

Individual provider Active NPI

Jason J. Collins, MD

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1588700017
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89168 Issued in OH
Practice address
100 N Walnut St
Chillicothe, OH 45601-2420
Phone
(740) 779-4500
Fax
(740) 779-8495
NPI assigned
Jan 30, 2007
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.089168 OH
Family Medicine Physician 207Q00000X 89168 OH Primary

Addresses

Primary practice location

100 N Walnut St
Chillicothe, OH 45601-2420

Mailing address

272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-8234

Other identifiers 1

IdentifierTypeStateIssuer
2745337MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070807000096 OH Practitioner - Family PracticePractitioner - Emergency Medicine 6305937251 Reassigns benefits to 3 organizations
I20150527000483 FL Practitioner - Family Practice 6305937251 Reassigns benefits to 1 organization
I20260320002927 GA Practitioner - Emergency Medicine 6305937251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Emergency Group LLCGroup PAC ID 2567628993, 26 clinicians

Practice addresses (Care Compare)

1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.089168OHMDEmergency Medicine Physician
89168OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duval Emergency Group LLC Emergency Medicine CurrentSince Apr 24, 2015 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Midwest Emergency Management Ohio, Inc Emergency Medicine Past Accepting new patients
Adena Medical Group LLC Family Medicine Past Accepting new patients
Highland Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

Organizations & group practices 8

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 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1588700017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-8234",
            "fax_number": "740-779-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012420",
            "telephone_number": "740-779-4500",
            "fax_number": "740-779-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JASON",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.089168",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "89168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2745337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.