Individual provider Active NPI

Jeffrey Carr Jessup, O.D.

  • Optometrist
  • Nashville, TN
National Provider Identifier
1104982701
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
859 Issued in TN
Practice address
7091 Old Harding Pike
Suite 105
Nashville, TN 37221
Phone
(615) 662-2800
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X ODT859 TN
Optometrist 152W00000X 859 TN Primary

Addresses

Primary practice location

7091 Old Harding Pike
Suite 105
Nashville, TN 37221

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
0047504MedicaidTN
0792070001OtherTNMEDICARE DMERC PIN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102000854 TN Practitioner - Optometry 6901861863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

7091 Old Harding Pike
Suite 105
Nashville, TN 37221-2827
Phone (615) 662-2800

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as group
Quality
79.74
Promoting interoperability
84
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT859TNMDCorneal and Contact Management Optometrist
859TNMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Sep 14, 2020 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Health Care for Life TN, LLC Optometrist CurrentSince Sep 2, 2013 Accepting new patients
Jessup Mobile Opt TN LLC Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Myeyedr Optometry of Tennesse, LLC Optometrist CurrentSince Sep 14, 2020 Accepting new patients
Prodigy Trust Company Corneal and Contact Management Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

840 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-4911

301 S Perimeter Park Dr
Ste 100
Nashville, TN 37211
Phone (615) 478-6748

7091 Old Harding Pike
Ste 105
Nashville, TN 37221
Phone (615) 662-2800

301 S Perimeter Park Dr
Ste 21
Nashville, TN 37211
Phone (615) 781-4238

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: jeffrey.jessup.p2@direct.360care.nextgenshare.com

Organizations & group practices 6

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1104982701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7091 OLD HARDING PIKE",
            "address_2": "SUITE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37221",
            "telephone_number": "615-662-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "JEFFREY",
        "middle_name": "CARR",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "ODT859",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047504",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PIN",
            "identifier": "0792070001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.