Individual provider Active NPI

Jeannie Auville Seaborn

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1063291326
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34723 Issued in TN
Practice address
915 S Garden St
Columbia, TN 38401-3205
Phone
(931) 548-8090
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 34723 TN Primary

Addresses

Primary practice location

915 S Garden St
Columbia, TN 38401-3205

Mailing address

915 S Garden St
Columbia, TN 38401-3205

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
I20231030003718 TN Practitioner - Nurse Practitioner 1759737596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians
Agape Family Health, LLCGroup PAC ID 3072896943, 6 clinicians

Practice addresses (Care Compare)

206 Cool Springs Blvd
Suite 105
Franklin, TN 37067-2677
Phone (615) 577-4840

915 S Garden St
Columbia, TN 38401-3205
Phone (931) 548-8090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Tennessee, PC CurrentSince Sep 24, 2023 Accepting new patients
Agape Family Health, LLC CurrentSince Oct 5, 2023 Accepting new patients
Ivxpress Inc PastSince Sep 24, 2023 Accepting new patients

Locations

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002

135 Chesapeake Ln
Ste 103
Clarksville, TN 37040
Phone (931) 548-0068

135 Chesapeake Ln
Clarksville, TN 37040
Phone (931) 548-0068

915 S Garden St
Columbia, TN 38401
Phone (931) 548-8090

1922 Shady Brook St
Columbia, TN 38401
Phone (931) 381-7053

1006 Glenbrook Way
Ste 130
Hendersonville, TN 37075
Phone (615) 505-4882

4007 Lebanon Pike
Hermitage, TN 37076

2108 Medical Center Pkwy
Ste I
Murfreesboro, TN 37129
Phone (615) 624-9251

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24835/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1063291326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013205",
            "telephone_number": "931-548-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABORN",
        "first_name": "JEANNIE",
        "middle_name": "AUVILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.