Jeremiah W Judkins, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD0000044395 Issued in TN

Practice address

355 New Shackle Island Rd
Hendersonville, TN 37075-2479

Phone

(615) 338-1000

NPI assigned

Apr 30, 2007

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, ME2 enrollments

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 2

Specialty

Internal MedicineAlso: Emergency Medicine

Education

University of Tennessee, HSC, College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Havely Springs Emergency Group, PCGroup PAC ID 6204298144, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Down East Community Hospital Hospital, Machias, ME, CCN 201311
• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
• Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Havely Springs Emergency Group, PC

  • Emergency Medicine Physician
  • Springfield, TN
  • NPI 1770090110
  Medicare reassignment Care Compare group NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment NPD
• Emergency Medicine Services of TN, PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1720785884
  Medicare reassignment NPD
• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment NPD
• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Medicare reassignment NPD
• Down East Community Hospital

  • General Acute Care Hospital
  • Machias, ME
  • NPI 1689670242
  Medicare reassignment NPD
• Emergency Medicine Services of Maine, LLC

  • Emergency Medicine Physician
  • Ellsworth, ME
  • NPI 1578032058
  Medicare reassignment NPD
• Calais Community Hospital

  dba Baileyville Medical Center

  • Rural Health Clinic/Center
  • Baileyville, ME
  • NPI 1467205112
  NPD
• Down East Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Machias, ME
  • NPI 1336587542
  NPD
• Down East Community Hospital

  dba DECH Family Practic

  • Multi-Specialty Clinic/Center
  • Calais, ME
  • NPI 1972015774
  NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277
  NPD (past)

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

• Hendersonville Hospital Corporation

  dba Tristar Hendersonville Medical Center

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation
• Springfield Health Services, LLC

  dba NorthCrest Medical Center

  • General Acute Care Hospital
  • Springfield, TN
  • NPI 1093397184
  Care Compare affiliation
• Down East Community Hospital

  • Critical Access Hospital
  • Machias, ME
  • NPI 1528087004
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1972723104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 LITCHFIELD PL",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370665611",
            "telephone_number": "615-772-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479",
            "telephone_number": "615-338-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191329",
            "country_code": "US",
            "telephone_number": "207-454-7521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Machias",
            "state": "ME",
            "postal_code": "046543325",
            "country_code": "US",
            "telephone_number": "207-255-3356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Northcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371723961",
            "country_code": "US",
            "telephone_number": "615-698-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "JEREMIAH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD27367",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000044395",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000044395",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "MD0000044395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanitta Lonzette Joseph, RBT
• Ashley Nichole Joyner
• JTW Stratcom Group LLC (Home Helpers of Hendersonville)
• Judd Family Eyecare
• Adrian Hugh Judd
• Jarod Joseph Juillerat, PHARM.D.
• Hailu T Kabtimer, MD
• Kanvas Wellness and Aesthetics, LLC
• Ruth Ellen Karas, OTR/L
• Saagar B Karlekar, MD

• Emergency Medicine Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.