Jimmy Russell Mauney, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2008 Issued in TN

Practice address

1000 S Gateway Blvd
Clarksville, TN 37043-8118

Phone

(931) 552-4340

Fax

(931) 552-0999

NPI assigned

Dec 9, 2009

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

65.3

Promoting interoperability

96

Improvement activities

40

Cost

77.31

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jimmy.mauney.p1@direct.toa.nextgenshare.com

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.

• Tennessee Orthopaedic Alliance PA

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1538153937
  Medicare reassignment Care Compare group NPD (past)
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Tennessee Orthopaedic Alliance PA

  • Multi-Specialty Clinic/Center
  • Clarksville, TN
  • NPI 1336905561
  NPD
• Tennessee Orthopaedic Alliance PA

  dba Tennessee Orthopaedic Clinics a Division of TOA

  • Orthopaedic Surgery Physician
  • Knoxville, TN
  • NPI 1740876283
  NPD
• Magpie Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Clarksville, TN
  • NPI 1013337583

  Physician Assistant

  NPD (past)
• Tennessee Orthopaedic Alliance PA

  dba Tennessee Orthopaedic Alliance

  • Orthopaedic Surgery Physician
  • Smyrna, TN
  • NPI 1205820610
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarksville Health System, LLC

  dba Tennova Healthcare-Clarksville

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Springfield Health Services, LLC

  dba NorthCrest Medical Center

  • General Acute Care Hospital
  • Springfield, TN
  • NPI 1093397184
  Care Compare affiliation

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1760711469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S GATEWAY BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438118",
            "telephone_number": "931-552-4340",
            "fax_number": "931-552-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNEY",
        "first_name": "JIMMY",
        "middle_name": "RUSSELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006557",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alicia Hughes Maxwell
• Angelia Daniell Maxwell, M.A.
• Melissa A Maxwell

• Physician Assistant in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.