Individual provider Active NPI

James T Poole, MD

  • Internal Medicine Physician
  • Smyrna, TN
National Provider Identifier
1851341291
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31239 Issued in TN
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3837177MedicaidTN
1508958MedicaidTN

Other names 1

  • Jim Poole Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000120 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 2062487564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee Medical Group LLCGroup PAC ID 1850208794, 22 clinicians

Practice addresses (Care Compare)

481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354

Hospital & facility affiliations

  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31239TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Medical Group LLC CurrentSince Mar 14, 2018 Accepting new patients
Coffee Medical Group LLC CurrentSince Mar 14, 2018 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Oct 1, 2017 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.