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JOHN RANDOLPH IBANEZ III
NPI 1740566603
Social Worker - Clinical in Nashville, TN

Active since October 24, 2011PECOS EnrolledAccepts Medicare Assignment
2400 WHITE AVE, NASHVILLE, TN 37204(615) 460-4463 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John Randolph Ibanez Iii NPPES

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

JOHN RANDOLPH IBANEZ III (NPI 1740566603) is an individual clinical provider in Nashville, Tennessee and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740566603
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN RANDOLPH IBANEZ III
Location Address2400 WHITE AVENashville, TN 37204-2235
Mailing Address2400 White AveNashville, TN 37204-2235 · (615) 460-4463
Phone(615) 460-4463
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 24, 2011
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1740566603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2400 WHITE AVE, Nashville, TN 37204
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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

John Randolph Ibanez Iii 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 ID4981177995
PECOS Enrollment IDI20260622002619
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37204 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
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
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 20

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

MATTHEW SIMMONS M.A., LPC-MHSP
Counselor (Mental Health)
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (615) 460-4200
MRS. SUSAN LANGENUS L.C.S.W.
Social Worker (Clinical)
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (615) 460-4200
KRISTEN M HENDRIX
Counselor (Mental Health)
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (404) 630-2758
KATHERINE LINKOUS
Social Worker
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (352) 256-7835
MISS KAYLA MUMPHREY M.A.
Counselor (Mental Health)
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (615) 460-4120
SARAH G RAY
Case Manager/Care Coordinator
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (615) 796-8966
ALEXANDRIA MATTEAU SPANN M.S.
Counselor (Mental Health)
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (615) 460-4120
DANIELLE EILEEN HICKMAN
Counselor (Mental Health)
2400 WHITE AVE
NASHVILLE, TN 37204
Davidson County (615) 463-6600

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 John Ibanez's NPI number?

The NPI number for John Ibanez is 1740566603. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is John Ibanez located?

John Ibanez practices at 2400 White Ave, Nashville, TN 37204. The listed phone number is (615) 460-4463.

What is John Ibanez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Ibanez enrolled in Medicare?

Yes. John Ibanez 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.

When was this NPI record last updated?

The NPPES record for John Ibanez was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.