James D Carey, APN
Individual provider Active NPI Family Nurse Practitioner · Hartsville, TN
NPI 1053854083 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1053854083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22001 (TN)
- Practice address
- 220 Broadway
Hartsville, TN 37074-1304 - Phone
- (615) 374-2101
- Fax
- (615) 374-2609
- NPI assigned
- Nov 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carey Family Practice and Pediatrics PLLC
Practice addresses (Care Compare)
220 Broadway
Hartsville, TN 37074-1304
Phone (615) 374-2101
Hospital & facility affiliations
- Adoration Home Health, LLC
- Highpoint Health-Trousdale With Ascension Saint
- Highpoint Health-Sumner With Ascension Saint Thoma
- Highpoint Health-Riverview With Ascension Saint TH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307000824 | TN | Practitioner - Nurse Practitioner | 8325322563 |
Reassigns benefits to 1 organization Practice locations: Hartsville, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carey Family Practice and Pediatrics PLLC | Current |
Accepting new patients | |
| James D Carey | Family | Past |
Accepting new patients |
Locations
220 Broadway
Hartsville, TN 37074
Phone (615) 374-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22001 | TN | Yes |
Addresses
Primary practice location
220 Broadway
Hartsville, TN 37074-1304
Mailing address
220 Broadway
Hartsville, TN 37074-1304
Phone (615) 374-2101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22001 | Other | STATE LICENSE |
Other providers in Hartsville, TN
- Jackson Burch
- Andrew Jordan Byrd
- Carey Family Practice and Pediatrics PLLC
- Jack W Carey Jr.
- Jack Willard Carey III
- Charlie Alexander Clay III
- Veronica Clay
- James Edward Clower
- Kai-L Cobb
- Carrie Beth Cropper
All providers in Hartsville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.