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MR. JAMES L HUGHES PH.D.
NPI 1295948552
Psychologist - Clinical in Hendersonville, TN

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
131 SANDERS FERRY RD STE 203, HENDERSONVILLE, TN 37075(615) 822-1222(615) 822-8306 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2019, May 26, 2017 (2 updates tracked since 2017).

About Mr. James L Hughes Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES L HUGHES PH.D. (NPI 1295948552) is an individual clinical provider in Hendersonville, Tennessee, licensed in Tennessee (1708) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1295948552
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. JAMES L HUGHESCredential: PH.D.
Location Address131 SANDERS FERRY RD STE 203Hendersonville, TN 37075-3662
Mailing AddressPo Box 1155Hendersonville, TN 37077-1155 · (615) 822-1222 · Fax (615) 822-8306
Phone(615) 822-1222
Fax(615) 822-8306
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1295948552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TN · 1708
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
131 SANDERS FERRY RD STE 203, Hendersonville, TN 37075
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Other Identifiers 1

Medicaid1521630TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Oscar Insurance Company and more.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

Mr. James L Hughes Ph.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.

PECOS PAC ID9830165646
PECOS Enrollment IDI20040907000462
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hughes Mcdaniel & Associates Plc
Same address
Clinical Child & Adolescent
131 SANDERS FERRY RD, # 203
Hendersonville, TN 37075
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
NPI 1508967423 (615) 822-1222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JACQUELINE M TANG-MORGAN PH.D.
Psychologist (Clinical)
131 SANDERS FERRY RD STE 203
HENDERSONVILLE, TN 37075
Sumner County (615) 822-1222

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 James Hughes's NPI number?

The NPI number for James Hughes is 1295948552. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is James Hughes located?

James Hughes practices at 131 Sanders Ferry Rd Ste 203, Hendersonville, TN 37075. The listed phone number is (615) 822-1222.

What is James Hughes's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is James Hughes enrolled in Medicare?

Yes. James Hughes 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 James Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hughes reassigns Medicare benefits to Hughes Mcdaniel & Associates Plc (Hendersonville, 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 James Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hughes accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list James Hughes 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.

When was this NPI record last updated?

The NPPES record for James Hughes was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.