THEOPHILUS JAMES HUMPHREYS MD NPI 1912143991

NPI Information

  • NPI: 1912143991
  • Provider Name: THEOPHILUS JAMES HUMPHREYS, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 164 W UNIVERSITY PKWY STE A
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 215-1135

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NPI Details

Theophilus James Humphreys, MD is a cardiovascular disease internal medicine in Jackson, TN. The provider is 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. Theophilus James Humphreys, MD NPI is 1912143991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

164 W UNIVERSITY PKWY STE A
JACKSON, TN
ZIP 38305-621
Phone: (731) 215-1135
Fax: (731) 410-6156

The enumeration date for this NPI number is 12/23/2008 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease5126TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B01639MEDICARE UPINTENNESSEE
21511064MEDICAIDTENNESSEE
33002642MEDICARE PINTENNESSEE
4110057277MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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