NPIMap

Individual provider Active NPI

Robert Joseph Jean, M.D.

  • Surgery Physician
  • Hixson, TN
National Provider Identifier
1679708960
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48206 Issued in TN
Practice address
2051 Hamill Rd Ste 101
Hixson, TN 37343-4653
Phone
(901) 726-1056
NPI assigned
May 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 48206 TN Primary

Addresses

Primary practice location

2051 Hamill Rd Ste 101
Hixson, TN 37343-4653

Mailing address

979 E 3Rd St Ste 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466

Other identifiers 1

IdentifierTypeStateIssuer
Q007187MedicaidTN

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
I20141003001872 TN Practitioner - General Surgery 8820234453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48206TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, PLLC Surgery CurrentSince Oct 1, 2017 Accepting new patients
Erlanger Health Surgery CurrentSince Jan 14, 2024 Accepting new patients
Erlanger Health CurrentSince Jan 14, 2024 Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Eric Blakney Current Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients
Erlanger Health Past Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients

Locations

300 S Rhodes St
West Memphis, AR 72301
Phone (870) 400-0433

2996 Kate Bond Rd
Ste 309
Bartlett, TN 38133
Phone (901) 722-9943

979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792

1755 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 778-8400

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2051 Hamill Rd
Ste 101
Hixson, TN 37343
Phone (423) 870-4435

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6029 Walnut Grove Rd
Ste 404
Memphis, TN 38120

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: robert.jean.1@33371.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1679708960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032187",
            "telephone_number": "423-267-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "901-726-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "48206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007187",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.