Active NPI
Jason Michael Herndon, M.D.
- Pain Medicine (Anesthesiology) Physician
- Manchester, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- PMC0000000910
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3301090 | 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
- Anesthesiology
- Education
- Meharry Medical College School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PMC0000000910 | TN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R. Nunley D.O., P.C. | Pain Medicine | Current | 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
- 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.
-
dba Interventional Spine and Pain Center
- Interventional Pain Medicine Physician
- Manchester, TN
- NPI 1033130208
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unity Medical Center
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.