Individual provider Active NPI

Jamie McLemore, NP

  • Family Nurse Practitioner
  • Loudon, TN
National Provider Identifier
1134729965
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28383 Issued in TN
Practice address
111 Clyde St
Loudon, TN 37774-1600
Phone
(865) 458-1554
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 28383 TN Primary

Addresses

Primary practice location

111 Clyde St
Loudon, TN 37774-1600

Mailing address

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

Other practice location 1

17619 Hwy 58 North
Decatur, TN 37322-3732
Phone (423) 334-2300

Other identifiers 1

IdentifierTypeStateIssuer
Q062588MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mclemore.jamie@covenanthealth.cernerdirect.com

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
I20201208002905 TN Practitioner - Nurse Practitioner 4981016383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28383TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jul 31, 2023 Accepting new patients
Restoration Clinic Family CurrentSince Nov 1, 2020 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Restoration Clinic CurrentSince Nov 1, 2020 Accepting new patients
Decatur Will Sav Inc PastSince Nov 1, 2020 Accepting new patients

Locations

17619 State Highway 58 N
Ste C
Decatur, TN 37322
Phone (423) 334-2300

17619 State Highway 58 N
Decatur, TN 37322
Phone (423) 334-2300

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: jamie.mclemore@130887584317444.direct.elationemr.com

Organizations & group practices 5

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.

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1134729965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLYDE ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741600",
            "telephone_number": "865-458-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLYDE ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741600",
            "telephone_number": "865-458-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17619 Hwy 58 North",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TN",
            "postal_code": "373223732",
            "country_code": "US",
            "telephone_number": "423-334-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q062588",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mclemore.jamie@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "111 Clyde St",
            "city": "Loudon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377741600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loudon, TN

Sources for this page

Verify at the official NPI Registry.