JOHN W HALE JR. M.D.
NPI 1104806413
Family Medicine in Union City, TN
About John W Hale Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN W HALE JR. M.D. (NPI 1104806413) is an individual family medicine provider in Union City, Tennessee, licensed in Tennessee (19519) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John W Hale Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Hale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38125
- Reassigned Medicare billing, Tennessee enrollment
- 581 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 42
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson-Madison County General Hospital
Acute Care Hospitals · Jackson, TNBaptist Memorial Hospital - Carroll County
Acute Care Hospitals · Huntingdon, TNBaptist Memorial Hospital Union City
Acute Care Hospitals · Union City, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38261 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 21
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Hale's NPI number?
The NPI number for John Hale is 1104806413. It was assigned to this individual provider in the NPPES registry on January 20, 2006.
Where is John Hale located?
John Hale practices at 1412 E Reelfoot Ave, Union City, TN 38261. The listed phone number is (731) 885-5131.
What is John Hale's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Hale enrolled in Medicare?
Yes. John Hale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Hale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Hale reassigns Medicare benefits to Baptist Memorial Medical Group Inc (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Hale accept?
Health plans from Arkansas Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Health Advantage, Octave and Oscar Health Plan, Inc. and 1 other insurer list John Hale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Hale affiliated with any hospitals?
According to CMS data, John Hale is affiliated with Jackson-Madison County General Hospital, Baptist Memorial Hospital - Carroll County and Baptist Memorial Hospital Union City.
When was this NPI record last updated?
The NPPES record for John Hale was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.