DR. JAMES GREGORY ANDERSON DDS
NPI 1619952314
Dentist - Oral and Maxillofacial Surgery in Clinton, TN

Q: What is James Anderson's NPI number?

The NPI number for James Anderson is 1619952314. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is James Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for James Anderson was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

175 FRANK PRICE BLVD, CLINTON, TN 37716(865) 622-4959(865) 269-4336 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Oct 1, 2024, Sep 12, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Dr. James Gregory Anderson Dds NPPES

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

DR. JAMES GREGORY ANDERSON DDS (NPI 1619952314) is an individual oral and maxillofacial surgery provider in Clinton, Tennessee, licensed in Tennessee (DS0000005390) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1991).

NPPES Registry Identity

NPI1619952314

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JAMES GREGORY ANDERSONCredential: DDS

Location Address175 FRANK PRICE BLVDClinton, TN 37716-1420

Mailing Address175 Frank Price BlvdClinton, TN 37716-1420 · (865) 622-4959 · Fax (865) 269-4336

Phone(865) 622-4959

Fax(865) 269-4336

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1991

Enumeration DateDecember 14, 2005

Last NPPES UpdateOctober 17, 20244 updates tracked since enumeration

NPPES CertifiedOctober 17, 2024

✔ NPI 1619952314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in TN · DS0000005390✔ Licensed in TN · DS5390

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

175 FRANK PRICE BLVD, Clinton, TN 37716

Open in Google Maps ↗

Other Identifiers 2

Medicaid1511863TN

Other1316197619TN · Group Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Gregory Anderson Dds 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 ID1951496868

PECOS Enrollment IDI20090117000081

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37716 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

ANDERSON ORAL AND MAXILLOFACIAL SURGERY P.C.

Dentist (Oral and Maxillofacial Surgery)

175 FRANK PRICE BLVD
CLINTON, TN 37716

Anderson County (865) 622-4959

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 Anderson's NPI number?

The NPI number for James Anderson is 1619952314. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is James Anderson located?

James Anderson practices at 175 Frank Price Blvd, Clinton, TN 37716. The listed phone number is (865) 622-4959.

What is James Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Anderson enrolled in Medicare?

Yes. James Anderson 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.

What insurance does James Anderson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 15 other insurers list James Anderson 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 James Anderson affiliated with any hospitals?

According to CMS data, James Anderson is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for James Anderson was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.