Individual provider Active NPI

Justin Perry, FNP-BC

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1114715299
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
38090 Issued in TN
Practice address
406 11TH Ave N Apt 689
Nashville, TN 37203-4552
Phone
(931) 264-2423
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 38090 TN Primary

Addresses

Primary practice location

406 11TH Ave N Apt 689
Nashville, TN 37203-4552

Mailing address

406 11TH Ave N Apt 689
Nashville, TN 37203-4552
Phone (931) 264-2423

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
I20251022005091 TN Practitioner - Nurse Practitioner 6608364534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Health Pro IncGroup PAC ID 2961944475, 3 clinicians

Practice addresses (Care Compare)

915 Harpeth Valley PL
Nashville, TN 37221-1141
Phone (629) 888-3256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38090TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Health Pro, Inc CurrentSince Jul 4, 2025 Accepting new patients

Locations

915 Harpeth Valley Pl
Nashville, TN 37221
Phone (270) 947-1373

Organizations & group practices 1

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1114715299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 11TH AVE N APT 689",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034552",
            "telephone_number": "931-264-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 11TH AVE N APT 689",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034552",
            "telephone_number": "931-264-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JUSTIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "38090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.