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THEOPHILUS JAMES HUMPHREYS MD
NPI 1912143991
Internal Medicine - Cardiovascular Disease in Jackson, TN

Active since December 23, 2008
164 W UNIVERSITY PKWY STE A, JACKSON, TN 38305(731) 215-1135(731) 410-6156 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Theophilus James Humphreys Md NPPES

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

THEOPHILUS JAMES HUMPHREYS MD (NPI 1912143991) is an individual cardiovascular disease provider in Jackson, Tennessee, licensed in Tennessee (5126) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1912143991
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHEOPHILUS JAMES HUMPHREYSCredential: MD
Location Address164 W UNIVERSITY PKWY STE AJackson, TN 38305-1621
Mailing Address127 Stanworth GrvJackson, TN 38305-4237 · (731) 427-0322
Phone(731) 215-1135
Fax(731) 410-6156
Sole ProprietorNo
Enumeration DateDecember 23, 2008
Last NPPES UpdateMay 18, 2016
✔ NPI 1912143991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · 5126
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
164 W UNIVERSITY PKWY STE A, Jackson, TN 38305
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Other Identifiers 4

Medicare UPINB01639TN
Medicaid1511064TN
Medicare PIN3002642TN
Medicare PIN110057277TN

Other Providers at the Same Location NPPES

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

DR. JAMES ROY APPLETON III MD
Family Medicine (Addiction Medicine)
164 W UNIVERSITY PKWY STE A
JACKSON, TN 38305
Madison County (731) 215-1135

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 Theophilus Humphreys's NPI number?

The NPI number for Theophilus Humphreys is 1912143991. It was assigned to this individual provider in the NPPES registry on December 23, 2008.

Where is Theophilus Humphreys located?

Theophilus Humphreys practices at 164 W University Pkwy Ste A, Jackson, TN 38305. The listed phone number is (731) 215-1135.

What is Theophilus Humphreys's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Theophilus Humphreys was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.