Individual provider Active NPI

Nathan W Nails, A.P.R.N.

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1063160489
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31565 Issued in TN
Practice address
145 Innovation Dr
Jackson, TN 38305-3019
Phone
(731) 422-0213
Fax
(731) 422-0409
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217742 TN
Family Nurse Practitioner 363LF0000X 31565 TN Primary
Emergency Medicine Physician 207P00000X 31565 TN
Family Medicine Physician 207Q00000X 31565 TN
Internal Medicine Physician 207R00000X 31565 TN
Pediatrics Physician 208000000X 31565 TN
Physical Medicine & Rehabilitation Physician 208100000X 31565 TN
Diagnostic Radiology Physician 2085R0202X 31565 TN
Surgery Physician 208600000X 31565 TN

Addresses

Primary practice location

145 Innovation Dr
Jackson, TN 38305-3019

Mailing address

PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752

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
I20220418000366 TN Practitioner - Nurse Practitioner 6901292192 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Clinics PLCGroup PAC ID 5193022994, 14 clinicians
Lexington Hospital CorporationGroup PAC ID 7719896414, 28 clinicians

Practice addresses (Care Compare)

17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone (731) 512-0104

200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-1812

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
74.15
Promoting interoperability
77
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217742TNMDNurse Practitioner
31565TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Community Hospital Inc. CurrentSince Aug 1, 2022 Accepting new patients
Haywood County Community Hospital Inc CurrentSince Oct 15, 2022 Accepting new patients
Delta Clinics, PLC CurrentSince Feb 10, 2025 Accepting new patients
Haywood County Community Hospital, Inc Emergency Medicine CurrentSince Oct 15, 2022 Accepting new patients
Lexington Clinic Corp Emergency Medicine CurrentSince Aug 30, 2022 Accepting new patients
Lexington Family Physicians LLC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Lexington Hospital Corporation CurrentSince Sep 17, 2023 Accepting new patients
Shamrock Community Hospital Inc Current Accepting new patients
Lexington Hospital Corporation Emergency Medicine CurrentSince Sep 17, 2023 Accepting new patients
Shamrock Community Hospital Inc Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lexington Hospital Corporation Past Accepting new patients
Lexington Hospital Corporation Past Accepting new patients
Lexington Hospital Corporation Emergency Medicine Past Accepting new patients

Locations

2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777

2545 N Washington Ave
Ste 2
Brownsville, TN 38012

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104

270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133

9486 Highway 412 W
Lexington, TN 38351
Phone (731) 512-0104

200 W Church St
Lexington, TN 38351
Phone (731) 968-1812

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1063160489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-425-5752",
            "fax_number": "731-425-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 INNOVATION DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053019",
            "telephone_number": "731-422-0213",
            "fax_number": "731-422-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAILS",
        "first_name": "NATHAN",
        "middle_name": "W",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "217742",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31565",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "31565",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "31565",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "31565",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "31565",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "31565",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "31565",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "31565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.