Active NPI
Jeremy Vincent Pinyard, M.D.
- Internal Medicine Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52905
- Practice address
- 516 W Oakland Ave
Suite 106
Johnson City, TN 37604-1676 - Phone
- (423) 722-3100
- Fax
- (423) 722-3104
- NPI assigned
- May 15, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 25MA09155600 | NJ | |
| Internal Medicine Physician | 207R00000X | 52905 | TN | Primary |
| Hospitalist Physician | 208M00000X | 41900 | IA |
Addresses
Primary practice location
516 W Oakland Ave
Suite 106
Johnson City, TN 37604-1676
Mailing address
516 W Oakland Ave
Suite 106
Johnson City, TN 37604-1676
Phone (423) 722-3100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2839 Hwy 231 N
Suite 101
Shelbyville, TN 37160-7448
Phone (931) 488-4014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41900 | IA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Recovery Center of Middle Tennessee, LLC | Current | Accepting new patients | |
| Cedar Recovery of Middle Tennessee, LLC | Current | Accepting new patients |
Locations
2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110
5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549
2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014
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.
-
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- Columbia, TN
- NPI 1801345285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1689933301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W OAKLAND AVE",
"address_2": "SUITE 106",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041676",
"telephone_number": "423-722-3100",
"fax_number": "423-722-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W OAKLAND AVE",
"address_2": "SUITE 106",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041676",
"telephone_number": "423-722-3100",
"fax_number": "423-722-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINYARD",
"first_name": "JEREMY",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA09155600",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "52905",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "41900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.