Active NPI
James L Manning, MD
- Family Medicine Physician
- Jackson, TN
National Provider Identifier
1780651877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD11685
- Practice address
- 2859 Highway 45 Byp
Jackson, TN 38305-3618 - Phone
- (731) 660-8360
- Fax
- (731) 664-7928
- NPI assigned
- Mar 7, 2006
- Last updated
- Nov 29, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD11685 | TN | Primary |
Addresses
Primary practice location
2859 Highway 45 Byp
Jackson, TN 38305-3618
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 423-8697
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3031234 | Other | TN | BLUE CROSS BLUE SHIELD |
| 129206 | Other | TN | UNISON |
| 3184760 | Medicaid | TN | |
| 080084501 | Other | TN | RAILROAD MEDICARE |
| 3184767 | 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 |
|---|---|---|---|
| MD11685 | TN | MD | Family Medicine Physician |
| 11685 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1780651877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-423-8697",
"fax_number": "731-422-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 HIGHWAY 45 BYP",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053618",
"telephone_number": "731-660-8360",
"fax_number": "731-664-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JAMES",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD11685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3031234",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "129206",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3184760",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080084501",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3184767",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.