Joaquina Elizabeth Vides de Montoya, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41609 Issued in TN

Practice address

1215 E College St
Brownsville, TN 38012-1656

Phone

(731) 772-3442

Fax

(731) 772-3662

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Tennessee, PCGroup PAC ID 8628221165, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Tennessee, PC

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1952654246
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Tennessee PC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1578717682

  Internal Medicine, TN

  Medicare reassignment NPD
• MV Clinic PLLC

  • Internal Medicine Physician
  • Lexington, TN
  • NPI 1548036577
  NPD
• CVC PLLC

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1053935437
  NPD (past)
• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338
  NPD (past)
• Firstcare Medical Center, PC

  • Cardiovascular Disease Physician
  • Jackson, TN
  • NPI 1922212067
  NPD (past)

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

• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1598852857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E COLLEGE ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121656",
            "telephone_number": "731-772-3442",
            "fax_number": "731-772-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E COLLEGE ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121656",
            "telephone_number": "731-772-3442",
            "fax_number": "731-772-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDES DE MONTOYA",
        "first_name": "JOAQUINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "41609",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "41609",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "41609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Sullivan, NP
• Raven S Taylor, MD
• Top Flight Medical Group LLC
• Total Renal Care Inc (Brownsville Dialysis)
• Jacqueline Vaulx-Woody, PTA
• Ray Wakefield
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0064)
• Wal-Mart Stores East, LP (Vision Center 30-0064)
• Walgreen Co. (Walgreens #11464)
• Ana Waller

• Internal Medicine Physician in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.