JACK D OWENS MD
NPI 1609952241
Pediatrics - Neonatal-Perinatal Medicine in Johnson City, TN

Active since October 27, 2006PECOS Enrolled
325 N STATE OF FRANKLIN RD, GROUND FLOOR, JOHNSON CITY, TN 37604(423) 439-7320 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jack D Owens Md NPPES

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

JACK D OWENS MD (NPI 1609952241) is an individual neonatal-perinatal medicine provider in Johnson City, Tennessee, licensed in Tennessee (42801) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609952241
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJACK D OWENSCredential: MD
Location Address325 N STATE OF FRANKLIN RD, GROUND FLOORJohnson City, TN 37604-6056
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 439-7320 · Fax (423) 439-7343
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1609952241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in TN · 42801✔ Licensed in MS · 16764
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
325 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Identifiers 3

MedicaidQ073340TN
Medicaid00121969MS
Medicaid0121969MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack D Owens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Jack Owens reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
Diagnostic Radiology
262 LEROY GEORGE DR
Clyde, NC 28721
  • Reassigned Medicare billing, North Carolina enrollment
  • 456 clinicians in this Medicare group
General Acute Care Hospital
1221 E MCPHERSON AVE
Nashville, GA 31639
  • Reassigned Medicare billing, Georgia enrollment
  • 112 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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Social Worker (Clinical)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pharmacist (Psychiatric)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Pediatrics
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

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 Jack Owens's NPI number?

The NPI number for Jack Owens is 1609952241. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Jack Owens located?

Jack Owens practices at 325 N State Of Franklin Rd Ground Floor, Johnson City, TN 37604. The listed phone number is (423) 439-7320.

What is Jack Owens's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jack Owens enrolled in Medicare?

Yes. Jack Owens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Owens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Owens reassigns Medicare benefits to 3 organizations: Medical Education Assistance Corporation (Johnson City, TN), Dlp Western Carolina Physician Practices LLC (Clyde, NC) and Hospital Authority Of Valdosta And Lowndes County, Georgia (Nashville, GA). Each 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 Jack Owens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Owens accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of NC list Jack Owens 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 Jack Owens was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.