Individual provider Active NPI

James Patrick Anderson, M.D.

  • Specialist
  • Goodlettsville, TN
National Provider Identifier
1689671802
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20682 Issued in TN
Practice address
314 Bluebird Dr
Goodlettsville, TN 37072-2304
Phone
(615) 851-5757
Fax
(615) 851-4607
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20682 TN Primary

Addresses

Primary practice location

314 Bluebird Dr
Goodlettsville, TN 37072-2304

Mailing address

314 Bluebird Dr
Goodlettsville, TN 37072-2304
Phone (615) 851-5757

Other identifiers 1

IdentifierTypeStateIssuer
3055113MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060328000102 TN Practitioner - NeurologyPractitioner - Psychiatry 4183680747 Practice locations: Clarksville, TN; Goodlettsville, TN

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
West Virginia University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

314 Bluebird Dr
Goodlettsville, TN 37072-2304
Phone (615) 851-6996

Hospital & facility affiliations

  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Merit-based Incentive Payment System (MIPS)

Final score
37.45 of 100Reported as individual
Quality
35
Improvement activities
0
Cost
78.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20682TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurometric Centers of Tennessee Inc Specialist Current Accepting new patients
Comfort Care Hospice of Middle Tennessee, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nmcjanders@yourcarecommunity.org

Organizations & group practices 2

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 4

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1689671802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722304",
            "telephone_number": "615-851-5757",
            "fax_number": "615-851-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722304",
            "telephone_number": "615-851-5757",
            "fax_number": "615-851-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "20682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055113",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.