Individual provider Active NPI

Jay Anthony Passmore, MSN

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1063804532
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19928 Issued in TN
Practice address
1635 Gunbarrel Rd Ste 400
Chattanooga, TN 37421-4987
Phone
(423) 778-5693
Fax
(423) 778-8543
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Flight Registered Nurse 163WF0300X 132749 TN
Nurse Practitioner 363L00000X 19928 TN Primary

Addresses

Primary practice location

1635 Gunbarrel Rd Ste 400
Chattanooga, TN 37421-4987

Mailing address

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

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
I20150825005000 TN Practitioner - Nurse Practitioner 0749258192 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Hamilton County Hospital AuthorityGroup PAC ID 0547179731, 159 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1010 E 3Rd St
Suite 202
Chattanooga, TN 37403-2174
Phone (423) 265-2233

1010 E Thrid St
Suite 201 a
Chattanooga, TN 37403
Phone (423) 553-1823

102 Central Ave
Chattanooga, TN 37403-1503
Phone (423) 266-3636

1100 E 3Rd St
Chattanooga, TN 37403-2241

1614 Gunbarrel Rd
Suite 101
Chattanooga, TN 37421-3125
Phone (423) 533-7600

1635 Gunbarrel Rd
Chattanooga, TN 37421-3126

1720 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-3192
Phone (423) 899-5241

1751 Gunbarrel Rd
Chattanooga, TN 37421-7162

1755 Gunbarrel Rd
Chattanooga, TN 37421-3185

1755 Gunbarrel Rd
Chattanooga, TN 37421-7138

1755 Gunbarrel Rd
Suite 102
Chattanooga, TN 37421-4138
Phone (423) 778-8500

1809 Gunbarrel Rd
Chattanooga, TN 37421-7185

2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434

720 E 4TH St
Chattanooga, TN 37403-1925
Phone (423) 778-9303

7430 Commons Blvd
Suite 2
Chattanooga, TN 37421-2669
Phone (423) 778-8988

900 E 3Rd St
Chattanooga, TN 37403-2101
Phone (423) 778-5437

910 Blackford St
Chattanooga, TN 37403-1405
Phone (423) 778-4830

960 E 3Rd St
Suite 208
Chattanooga, TN 37403-2121
Phone (423) 778-2550

960 E 3Rd St
Suite 408
Chattanooga, TN 37403-2149
Phone (423) 778-4408

975 E 3Rd St
Chattanooga, TN 37403-2147

975 E 3Rd St
Chattanooga, TN 37403-2163
Phone (423) 266-1490

979 E 3Rd St
Chattanooga, TN 37403-2136

979 E 3Rd St
Chattanooga, TN 37403-2140

979 E 3Rd St
C220
Chattanooga, TN 37403-3314
Phone (423) 267-3585

979 E 3Rd St
C430
Chattanooga, TN 37403-3358
Phone (423) 624-6584

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
132749TNMDFlight Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 24, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 24, 2022 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Jul 28, 2015 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jul 7, 2015 Accepting new patients
Erlanger Health Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste A445
Chattanooga, TN 37403
Phone (423) 778-5693

1635 Gunbarrel Rd
Ste 400
Chattanooga, TN 37421
Phone (423) 778-5693

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 7

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1063804532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113847",
            "telephone_number": "423-559-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 GUNBARREL RD STE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214987",
            "telephone_number": "423-778-5693",
            "fax_number": "423-778-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "JAY",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "TN",
            "license": "132749",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.