Active NPI
James Daniel Baxter, M.D.
- Obstetrics & Gynecology Physician
- Selmer, TN
National Provider Identifier
1750345807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD0000039152
- Practice address
- 705 E Poplar Ave
Selmer, TN 38375-1828 - Phone
- (731) 646-2181
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD0000039152 | TN | Primary |
Addresses
Primary practice location
705 E Poplar Ave
Selmer, TN 38375-1828
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2851
Phone (615) 465-7000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33816 | Other | TN | TLC |
| 181577 | Other | TN | BETTER HEALTH PLANS OF TN |
| 4124946 | Other | TN | BCBS |
| 978233 | Medicaid | MS | |
| 3067002 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11765 | OK | MD | Professional Counselor |
| MD0000039152 | TN | MD | Obstetrics & Gynecology Physician |
| 39152 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell Eye Center, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Selmer, TN
- NPI 1235633199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1750345807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 COMMERCE WAY",
"address_2": "SUITE 180",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272851",
"telephone_number": "615-465-7000",
"fax_number": "615-465-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E POPLAR AVE",
"city": "SELMER",
"state": "TN",
"postal_code": "383751828",
"telephone_number": "731-646-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "JAMES",
"middle_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD0000039152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "33816",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BETTER HEALTH PLANS OF TN",
"identifier": "181577",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4124946",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "978233",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3067002",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.