Individual provider Active NPI

James D Carey, APN

  • Family Nurse Practitioner
  • Hartsville, TN
National Provider Identifier
1053854083
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22001 Issued in TN
Practice address
220 Broadway
Hartsville, TN 37074-1304
Phone
(615) 374-2101
Fax
(615) 374-2609
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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 22001 TN Primary

Addresses

Primary practice location

220 Broadway
Hartsville, TN 37074-1304

Mailing address

220 Broadway
Hartsville, TN 37074-1304
Phone (615) 374-2101

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
I20170307000824 TN Practitioner - Nurse Practitioner 8325322563 Reassigns benefits to 1 organization
Practice locations: Hartsville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carey Family Practice and Pediatrics PLLCGroup PAC ID 1951742899, 2 clinicians

Practice addresses (Care Compare)

220 Broadway
Hartsville, TN 37074-1304
Phone (615) 374-2101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22001TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carey Family Practice and Pediatrics PLLC CurrentSince Dec 21, 2023 Accepting new patients
James D Carey Family PastSince Dec 1, 2016 Accepting new patients

Locations

220 Broadway
Hartsville, TN 37074
Phone (615) 374-2101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1053854083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BROADWAY",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741304",
            "telephone_number": "615-374-2101",
            "fax_number": "615-374-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BROADWAY",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741304",
            "telephone_number": "615-374-2101",
            "fax_number": "615-374-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, TN

Sources for this page

Verify at the official NPI Registry.