Individual provider Active NPI

Jason Michael Herndon, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Manchester, TN
National Provider Identifier
1871856302
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
PMC0000000910 Issued in TN
Practice address
2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone
(931) 728-5607
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X LL34897 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X PMC0000000910 TN Primary

Addresses

Primary practice location

2345 Murfreesboro Hwy
Manchester, TN 37355-3206

Mailing address

2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone (931) 728-5607

Other identifiers 1

IdentifierTypeStateIssuer
3301090MedicaidTN

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
I20171019002614 TN Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5597054528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Meharry Medical College School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James R Nunley DO PCGroup PAC ID 3870405228, 8 clinicians

Practice addresses (Care Compare)

2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone (931) 728-5607

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.32 of 100Reported as individual
Quality
59.64
Promoting interoperability
100
Improvement activities
40
Cost
76.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PMC0000000910TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Nunley D.O., P.C. Pain Medicine CurrentSince Mar 1, 2019 Accepting new patients

Locations

2345 Murfreesboro Hwy
Manchester, TN 37355
Phone (931) 728-5479

905 S Church St
Murfreesboro, TN 37130
Phone (615) 890-4583

Interoperability endpoints

  • Direct secure messaging: jason.herndon.1@3329.direct.athenahealth.com

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.

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1871856302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MURFREESBORO HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553206",
            "telephone_number": "931-728-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MURFREESBORO HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553206",
            "telephone_number": "931-728-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "LL34897",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "PMC0000000910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3301090",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.