Active NPI
Jonathan Raj Paul, MD
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 71718
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401-4802 - Phone
- (931) 381-1111
- NPI assigned
- Aug 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 71718 | TN | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 71718 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401-4802
Mailing address
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114535000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111
Hospital & facility affiliations
- Maury Regional Hospital
- Southern Tennessee Regional Health System Pulaski
- Marshall Medical Center
- Southern Tennessee Regional Health System Lawrence
- Wayne Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71718 | TN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Maury Regional Medical Group, Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Columbia, TN
- NPI 1205886264
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Rural Health Clinic/Center
- Spring Hill, TN
- NPI 1548889850
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lawrenceburg, TN
- NPI 1114003175
-
- Rural Acute Care Hospital
- Pulaski, TN
- NPI 1841388519
-
- General Acute Care Hospital
- Waynesboro, TN
- NPI 1811927544
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Critical Access Hospital
- Lewisburg, TN
- NPI 1578591756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1639696362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-381-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-381-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "JONATHAN",
"middle_name": "RAJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "71718",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TN",
"license": "71718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114535000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.