Active NPI
Jaimie Pelot, FNP-BC
- Family Nurse Practitioner
- Mount Juliet, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2024013276
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024013276 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Spine Joint and Neuromuscular Rehab PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Center for Spine, Joint & Neuromuscular Rehabilitation | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | 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
- 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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Physical Medicine & Rehabilitation Physician
- Mt. Juliet, TN
- NPI 1639102650
-
- Specialist
- Murfreesboro, TN
- NPI 1437496577
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.