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VCPHCS XIX, LLC
NPI 1639515646
Clinic/Center - Rehabilitation, Substance Use Disorder in Jackson, TN

Active since May 16, 2013CLIA 44D2043141 · Waiver
1869 HIGHWAY 45 BYP, SUITE 5, JACKSON, TN 38305(731) 660-0880(731) 668-0380 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Feb 20, 2019, Mar 2, 2018 (3 updates tracked since 2018).

About Vcphcs Xix, Llc NPPES

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

VCPHCS XIX, LLC (NPI 1639515646) is a healthcare organization registered as a rehabilitation, substance use disorder in Jackson, Tennessee and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Jay Higham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639515646
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameVCPHCS XIX, LLC
Location Address1869 HIGHWAY 45 BYP, SUITE 5Jackson, TN 38305-2464
Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150
Phone(731) 660-0880
Fax(731) 668-0380
Organization SubpartNo
Authorized OfficialJay HighamCeo · (214) 365-6112
Enumeration DateMay 16, 2013
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1639515646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License L000000011853 (TN)
1869 HIGHWAY 45 BYP, Jackson, TN 38305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2043141

Vcphcs Xix, LLC Dba Bhg Jackson Treatment Center · Jackson, TN
Active · expires Jun 27, 2028
CLIA Number44D2043141
Laboratory TypeOutpatient Treatment
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorSheryl Banaag
Laboratory Phone(731) 660-0880
Laboratory LocationVcphcs Xix, LLC Dba Bhg Jackson Treatment Center58 Carriage House Dr Ste B, Jackson, TN 38305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
505 services24 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
337 services22 patients
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074
Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.
46 services17 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
22 services16 patients

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.

MS. TRACI ROBINSON
Licensed Practical Nurse
1869 HIGHWAY 45 BYP, SUITE 5
JACKSON, TN 38305
Madison County (731) 660-0880
MS. GLORETTA DIANNA TURNER LPN
Licensed Practical Nurse
1869 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (469) 547-3231
HARNISCH WELLNESS CLINIC INC
Clinic/Center (Primary Care)
1869 HIGHWAY 45 BYP, SUITE 2B
JACKSON, TN 38305
Madison County (731) 512-1880
GOOD SAMARITAN FAMILY WALK-IN CLINIC, LLC
Clinic/Center (Primary Care)
1869 HIGHWAY 45 BYP, SUITE 4
JACKSON, TN 38305
Madison County (731) 215-2277
MRS. CAROLYN ANN THOMAS LPN
Licensed Practical Nurse
1869 HIGHWAY 45 BYP, SUITE 5
JACKSON, TN 38305
Madison County (469) 547-3233
RALEIGH PROFESSIONAL ASSOCIATES
Clinic/Center (Methadone)
1869 HIGHWAY 45 BYP, SUITE 5
JACKSON, TN 38305
Madison County (731) 660-0880

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 Vcphcs Xix, LLC's NPI number?

The NPI number for Vcphcs Xix, LLC is 1639515646. It was assigned to this organization in the NPPES registry on May 16, 2013.

Where is Vcphcs Xix, LLC located?

Vcphcs Xix, LLC is located at 1869 Highway 45 Byp Suite 5, Jackson, TN 38305. The listed phone number is (731) 660-0880.

What is Vcphcs Xix, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Vcphcs Xix, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2043141) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vcphcs Xix, LLC accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Vcphcs Xix, LLC 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 Vcphcs Xix, LLC was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.