Active NPI
James T Poole, MD
- Internal Medicine Physician
- Smyrna, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31239
- Practice address
- 200 Stonecrest Blvd
C/O Jean Seals Medical Staff Coordinator
Smyrna, TN 37167-6810 - Phone
- (615) 768-2223
- Fax
- (615) 768-2723
- NPI assigned
- May 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31239 | TN | Primary |
Addresses
Primary practice location
200 Stonecrest Blvd
C/O Jean Seals Medical Staff Coordinator
Smyrna, TN 37167-6810
Mailing address
2909 Beulah Church Rd
Arrington, TN 37014-9125
Phone (615) 395-0019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3837177 | Medicaid | TN | |
| 1508958 | Medicaid | TN |
Other names 1
- Jim Poole
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
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354
Hospital & facility affiliations
- Unity Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31239 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Medical Group LLC | Current | Accepting new patients | |
| Coffee Medical Group LLC | Current | Accepting new patients | |
| Cogent Healthcare of Tennessee, PC | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Past | Accepting new patients |
| Hospitalists at Stonecrest LLC | Past | Accepting new patients | |
| Barren Forks Inpatient Services PLLC | Internal Medicine | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000
481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000
Organizations & group practices 6
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.
-
- Rural Acute Care Hospital
- Manchester, TN
- NPI 1013969179
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1952654246
-
- Rural Health Clinic/Center
- Manchester, TN
- NPI 1043537046
-
- Internal Medicine Physician
- McMinnville, TN
- NPI 1891055935
-
- Specialist
- Smyrna, TN
- NPI 1356511893
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manchester, TN
- NPI 1013969179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851341291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 BEULAH CHURCH RD",
"city": "ARRINGTON",
"state": "TN",
"postal_code": "370149125",
"telephone_number": "615-395-0019",
"fax_number": "615-395-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STONECREST BLVD",
"address_2": "C/O JEAN SEALS MEDICAL STAFF COORDINATOR",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676810",
"telephone_number": "615-768-2223",
"fax_number": "615-768-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "31239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3837177",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508958",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "POOLE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.