Individual provider Active NPI

Jessica Golliher, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1013392836
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20155 Issued in TN
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

Updated by the provider on Sep 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q015568MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Covenant Homecare CurrentSince Apr 1, 2021 Accepting new patients
Covenant Homecare CurrentSince Apr 1, 2021 Accepting new patients
Summit View Health Services, LLC Family CurrentSince Jun 1, 2018 Accepting new patients
Thompson Oncology Group CurrentSince Apr 15, 2019 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

  • Direct secure messaging: 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.

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 16 clinicians

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 Hospital, Oak Ridge, TN, CCN 440034

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

Verify at the official NPI Registry.