Individual provider Active NPI

Robert Henry Owens, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1093226748
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23393 Issued in TN
Practice address
2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone
(731) 984-8400
NPI assigned
Oct 21, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 23393 TN Primary

Addresses

Primary practice location

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087

Mailing address

56 Darlington CV
Jackson, TN 38305-7561
Phone (731) 307-7874

Other practice location 1

15463 S First St
Milan, TN 38358-6475
Phone (731) 686-8688

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
I20240130001418 TN Practitioner - Nurse Practitioner 3274880778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Radiology Associates PAGroup PAC ID 6305893231, 28 clinicians

Practice addresses (Care Compare)

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.73 of 100Reported as group
Quality
80.7
Improvement activities
40
Cost
51.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23393TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Radiology Associates PA CurrentSince Jan 1, 2024 Accepting new patients
Jackson Madison County General Hospital CurrentSince Oct 1, 2025 Accepting new patients
Physicians Quality Care PLLC PastSince Nov 1, 2010 Accepting new patients
Physicians Quality Care PLLC Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

9 Physicians Dr
Jackson, TN 38305
Phone (731) 661-0086

Organizations & group practices 4

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 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": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093226748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DARLINGTON CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057561",
            "telephone_number": "731-307-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 PLEASANT PLAINS EXT RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056087",
            "telephone_number": "731-984-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15463 S First St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383586475",
            "country_code": "US",
            "telephone_number": "731-686-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ROBERT",
        "middle_name": "HENRY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.