Jovonna R Riggins, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TN142 Issued in TN

Practice address

6784 Highway 411
Benton, TN 37307-4818

Phone

(423) 338-2831

Fax

(423) 338-2833

NPI assigned

Oct 23, 2006

Last updated

May 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jodi R Riggins Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ocoee Regional Health Corporation

  dba Grundy County Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Coalmont, TN
  • NPI 1902010770
  Medicare reassignment
• Ocoee Regional Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Benton, TN
  • NPI 1386857381
  NPD
• Ocoee Regional Health Corporation

  dba Rhea County Middle School

  • Federally Qualified Health Center (FQHC)
  • Evensville, TN
  • NPI 1558931915
  NPD
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1659454403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "37307",
            "telephone_number": "423-338-8995",
            "fax_number": "423-338-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 HIGHWAY 411",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373074818",
            "telephone_number": "423-338-2831",
            "fax_number": "423-338-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGINS",
        "first_name": "JOVONNA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "TN142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3668519",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "3073274",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "RIGGINS",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Polk County Board of Education
• Natalie Susan Powell, RN
• Preferred Pharmacy, Inc
• Premier Physical Therapy of SE TN (Polk Physical Therapy)
• Caleb Sloan Rae, PA
• Teresa A Rogers, RN
• State of Tennessee (Polk County Health Department - Benton)
• Robert Louis Stewart, CNMT
• Holly Lynn Swafford
• The Drug Store Benton LLC (The Drug Store)

• Family Medicine Physician in Benton, TN
• Providers in Benton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.

Verify at the official NPI Registry.