Individual provider Active NPI

Jaimie Pelot, FNP-BC

  • Family Nurse Practitioner
  • Mount Juliet, TN
National Provider Identifier
1013753029
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024013276 Issued in TN
Practice address
5003 Crossings Cir Ste 200
Mount Juliet, TN 37122-8568
Phone
(615) 872-9966
Fax
(615) 564-9300
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 2024013276 TN Primary

Addresses

Primary practice location

5003 Crossings Cir Ste 200
Mount Juliet, TN 37122-8568

Mailing address

411 College Ave E
Carthage, TN 37030-1425
Phone (615) 815-8395

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
I20250103002613 TN Practitioner - Nurse Practitioner 1052849080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

160 McMurry Blvd W
Hartsville, TN 37074-1137
Phone (615) 257-3470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2024013276TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spine Joint and Neuromuscular Rehab PC CurrentSince Aug 6, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 23, 2025 Accepting new patients
Center for Spine, Joint & Neuromuscular Rehabilitation CurrentSince Aug 6, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 23, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

160 McMurry Blvd W
Hartsville, TN 37074
Phone (615) 257-3470

931 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 259-4144

5003 Crossings Cir
Ste 200
Mt Juliet, TN 37122
Phone (615) 773-4128

910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHJBDD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1013753029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COLLEGE AVE E",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301425",
            "telephone_number": "615-815-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CROSSINGS CIR STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228568",
            "telephone_number": "615-872-9966",
            "fax_number": "615-564-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOT",
        "first_name": "JAIMIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2024013276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.