Individual provider Active NPI

Jo-Ann S. Marrs, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1104855451
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN005091 Issued in TN
Practice address
2151 Century LN
Johnson City, TN 37604-4469
Phone
(423) 926-2500
Fax
(423) 926-5999
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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 APN005091 TN Primary

Addresses

Primary practice location

2151 Century LN
Johnson City, TN 37604-4469

Mailing address

PO Box 70403
Johnson City, TN 37614-1703
Phone (423) 439-4078

Other identifiers 4

IdentifierTypeStateIssuer
4052732OtherTNBLUECROSSBLUESHIELD
100043092OtherTNPHP
3348895MedicaidTN
TN01J7OtherTNJOHN DEERE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5091TNMDGeneral Practice Dentistry
APN005091TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRD Management, Inc CurrentSince Oct 1, 2020 Accepting new patients
Vcphcs Xxi, LLC CurrentSince Oct 1, 2020 Accepting new patients
BHG Xxvii, LLC CurrentSince Oct 1, 2020 Accepting new patients
Vcphcs Xix, LLC CurrentSince Oct 1, 2020 Accepting new patients
Vcphcs VIII, LLC CurrentSince Oct 1, 2020 Accepting new patients
Vcphcs I, LLC CurrentSince Oct 1, 2020 Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince Oct 1, 2020 Accepting new patients
Vcphcs IX, LLC CurrentSince Oct 1, 2020 Accepting new patients
DRD Management, Inc CurrentSince Oct 1, 2020 Accepting new patients
DRD Management, Inc Current Accepting new patients
Vcphcs Xvii, LLC CurrentSince Oct 1, 2020 Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince Oct 1, 2020 Accepting new patients
Wellness Ambulatory Care Inc. Current Accepting new patients
Love Without Walls Adult Care CurrentSince Dec 1, 2021 Accepting new patients
BHG Xxxi, LLC CurrentSince Oct 1, 2020 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients

Locations

111 Park St
Athens, TN 37303
Phone (423) 252-0075

1202 S James M Campbell Blvd
Ste 7A
Columbia, TN 38401
Phone (931) 381-0020

640 US Highway 51 Byp E
Ste M
Dyersburg, TN 38024
Phone (731) 285-6535

58 Carriage House Dr
#A
Jackson, TN 38305
Phone (731) 660-0880

412 Citico St
Knoxville, TN 37921
Phone (865) 522-0661

1910 Ailor Ave
Knoxville, TN 37921
Phone (844) 535-7291

2165 Spicer Cv
Ste 5
Memphis, TN 38134
Phone (901) 372-7878

4539 Winchester Rd
Ste 111
Memphis, TN 38118
Phone (901) 372-7878

1734 Madison Ave
Memphis, TN 38104
Phone (901) 722-9420

2410 Charlotte Ave
Nashville, TN 37203
Phone (615) 321-2575

85 Harrison St
Savannah, TN 38372
Phone (731) 925-2767

5001 Spring Vly
Ste 600E
Dallas, TX 75244

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

Organizations & group practices 19

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 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1104855451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70403",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141703",
            "telephone_number": "423-439-4078",
            "fax_number": "423-439-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 CENTURY LN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044469",
            "telephone_number": "423-926-2500",
            "fax_number": "423-926-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRS",
        "first_name": "JO-ANN",
        "middle_name": "S.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN005091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "4052732",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100043092",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348895",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN01J7",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.