Active NPI
John Richard Janovich, M.D.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Covington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 0000006167
- Practice address
- 1995 Highway 51 S
Suite 102
Covington, TN 38019-3635 - Phone
- (901) 476-3424
- Fax
- (901) 475-3696
- NPI assigned
- May 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 0000006167 | TN | Primary |
Addresses
Primary practice location
1995 Highway 51 S
Suite 102
Covington, TN 38019-3635
Mailing address
5192 Blackwell Rd
Memphis, TN 38134-3104
Phone (901) 476-3424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3153325 | Medicaid | TN |
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
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1995 Hwy 51 S
Suite 102
Covington, TN 38019-3654
Phone (901) 201-1921
1995 Hwy 51 S 102
Covington, TN 38019-3654
Hospital & facility affiliations
- Baptist Memorial Hospital Tipton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000006167 | TN | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Orthopaedic Clinic, P.a. | Current | Accepting new patients |
Locations
1995 Highway 51 S
Ste 102
Covington, TN 38019
Phone (901) 201-1921
Interoperability endpoints
- jjanovich12707@direct.bmhcc.org
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 and National Provider Directory roles.
-
- Specialist
- Covington, TN
- NPI 1205241304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1801847025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5192 BLACKWELL RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343104",
"telephone_number": "901-476-3424",
"fax_number": "901-475-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 HIGHWAY 51 S",
"address_2": "SUITE 102",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193635",
"telephone_number": "901-476-3424",
"fax_number": "901-475-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOVICH",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "TN",
"license": "0000006167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3153325",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.