Active NPI
Jessica Golliher, NP-C
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20155
- Practice address
- 1915 White Ave
Knoxville, TN 37916 - Phone
- (865) 331-1720
- Fax
- (865) 331-2823
- NPI assigned
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20155 | TN | Primary |
Addresses
Primary practice location
1915 White Ave
Knoxville, TN 37916
Mailing address
1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 331-1720
Other practice location 1
2497 S Roane St
Suite 110
Harriman, TN 37748-8670
Phone (865) 647-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q015568 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Golliher.jessica@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151210000851 | TN | Practitioner - Nurse Practitioner | 2567763865 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Homecare | Current | Accepting new patients | |
| Covenant Homecare | Current | Accepting new patients | |
| Summit View Health Services, LLC | Family | Current | Accepting new patients |
| Thompson Oncology Group | Current | Accepting new patients | |
| Covenant Homecare | Past | Accepting new patients |
Locations
10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444
12823 Kingston Pike
Knoxville, TN 37934
Phone (865) 862-8100
3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909
Dept 888078
Knoxville, TN 37995
1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065
Interoperability endpoints
- golliher.jessica@covenanthealth.cernerdirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1649540170
TN
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1952557381
Family, TN
-
- Home Health Agency
- Knoxville, TN
- NPI 1982690640
-
- Community Based Hospice Care Agency
- Knoxville, TN
- NPI 1467449181
-
- Durable Medical Equipment & Medical Supplies
- Oak Ridge, TN
- NPI 1174885289
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Lincoln Memorial University Medical Department, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Homecare
Practice addresses (Care Compare)
3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-3761
Phone (865) 374-0600
Hospital & facility affiliations
- Methodist Medical Center of Oak Ridge
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1013392836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 WHITE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162300",
"telephone_number": "865-331-1720",
"fax_number": "865-331-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 WHITE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37916",
"telephone_number": "865-331-1720",
"fax_number": "865-331-2823"
}
],
"practiceLocations": [
{
"address_1": "2497 S Roane St",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Harriman",
"state": "TN",
"postal_code": "377488670",
"country_code": "US",
"telephone_number": "865-647-3750",
"fax_number": "865-647-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLIHER",
"first_name": "JESSICA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "20155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q015568",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Golliher.jessica@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "1915 White Ave",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "37916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.