JASON VANCE MD A MEDICAL CORPORATION
NPI 1679402267
Family Medicine in Ooltewah, TN
About Jason Vance Md A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON VANCE MD A MEDICAL CORPORATION (NPI 1679402267) is a healthcare organization registered as a family medicine in Ooltewah, Tennessee and active in the NPI registry since May 2026. The organization lists Jason Vance, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Vance Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Jason Vance MD A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jason Vance MD A Medical Corporation's NPI number?
The NPI number for Jason Vance MD A Medical Corporation is 1679402267. It was assigned to this organization in the NPPES registry on May 18, 2026.
Where is Jason Vance MD A Medical Corporation located?
Jason Vance MD A Medical Corporation is located at 2137 Heavenly Vw, Ooltewah, TN 37363. The listed phone number is (530) 966-5454.
What is Jason Vance MD A Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jason Vance MD A Medical Corporation enrolled in Medicare?
Yes. Jason Vance MD A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jason Vance MD A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jason Vance MD A Medical Corporation, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jason Vance MD A Medical Corporation was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jason Vance Md A Medical Corporation · NPI 1679402267
Family Medicine organization in Ooltewah, Tennessee. Organization record, active in the CMS NPPES registry since May 18, 2026.
## Identity
- **NPI:** 1679402267 (Entity type: Organization)
- **Enumerated:** May 18, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jason Vance, OWNER
## Practice location
- **Address:** 2137 HEAVENLY VW, Ooltewah, TN 37363-9488
- **Phone:** (530) 966-5454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
- **Other identifiers:** Other 65025 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1679402267) · Data from the CMS NPPES public registry.