Thomas J Caruthers Jr., MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

TN000029623 Issued in TN

Practice address

629 Nuckolls Rd
Bolivar, TN 38008-1599

Phone

(731) 658-3388

Fax

(731) 658-1719

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Obstetrics/Gynecology

Education

Meharry Medical College School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hardeman County Community Health CenterGroup PAC ID 5799694147, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.caruthers.1@27086.direct.athenahealth.com
• Direct secure messaging: thomas.caruthers.p1@direct.hcchc.nextgenshare.com

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.

• Hardeman County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bolivar, TN
  • NPI 1861468340
  Medicare reassignment Care Compare group NPD
• Interventional Diabetes Center LLC 3

  • Podiatrist
  • Memphis, TN
  • NPI 1881483733
  Medicare reassignment NPD
• Interventional Diabetes Center LLC 4

  • Podiatrist
  • Kenton, TN
  • NPI 1821887944
  Medicare reassignment NPD
• Vital Wound and Foot Care LLC

  • Podiatrist
  • Madison, TN
  • NPI 1326837477
  Medicare reassignment NPD
• Adult and Pediatric Foot Center, LLC

  • Foot Surgery Podiatrist
  • Memphis, TN
  • NPI 1407025935
  NPD
• Hardeman County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Stanton, TN
  • NPI 1356531610
  NPD
• Hardeman County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bolivar, TN
  • NPI 1942049135
  NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1730138355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 EMILY CV",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380047475",
            "telephone_number": "901-463-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081599",
            "telephone_number": "731-658-3388",
            "fax_number": "731-658-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 1st St E",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "TN",
            "postal_code": "380694426",
            "country_code": "US",
            "telephone_number": "731-548-2232",
            "fax_number": "731-548-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "TN000029623",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "TN0000029623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810696",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730138355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Aaron Burks, PHARM.D.
• Gregary Byers, NP-C
• Tracy Renee Callahan, RN
• Jeanne Beth Carrington, RN
• Jason Carter, PHARM D.
• Randall Wayne Castellaw
• Vijaya K Chandel, M.D.
• Satoria Cheairs, BS
• Christian Care Center of Bolivar LLC
• Clark Family Clinic, LLC

• Obstetrics & Gynecology Physician in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.

Verify at the official NPI Registry.