Individual provider Active NPI

Jennifer Leigh Bagwell, NP

  • Gerontology Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1144954603
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
31956 Issued in TN
Practice address
375 Alfred Thun Rd
Clarksville, TN 37040-5339
Phone
(931) 221-0479
NPI assigned
Jul 11, 2022
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 31956 TN Primary
Primary Care Nurse Practitioner 363LP2300X 31956 TN

Addresses

Primary practice location

375 Alfred Thun Rd
Clarksville, TN 37040-5339

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

Other practice location 1

103 Natchez Park Dr Ste 103
Dickson, TN 37055-9013
Phone (615) 740-7025

Other practice location 2

776 Weatherly Dr Ste A
Clarksville, TN 37043-8922
Phone (931) 906-2004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.bagwell@vumc.RADONCJV.direct.varian.com Direct

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
I20221004000403 TN Practitioner - Nurse Practitioner 5597141267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

776 Weatherly Dr
Suite a
Clarksville, TN 37043-8941
Phone (931) 906-2004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31956TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Dec 15, 2025 Accepting new patients
Vanderbilt Maury Radiation Oncology, LLC PastSince Jul 1, 2013 Accepting new patients

Locations

776 Weatherly Dr
Ste A
Clarksville, TN 37043
Phone (931) 906-2004

103 Natchez Park Dr
Ste 103
Dickson, TN 37055
Phone (615) 451-5481

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: jbagwell283694@direct.vumc.org
  • Direct secure messaging: jennifer.bagwell@vumc.radoncjv.direct.varian.com

Organizations & group practices 2

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 2

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1144954603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ALFRED THUN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405339",
            "telephone_number": "931-221-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Natchez Park Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370559013",
            "country_code": "US",
            "telephone_number": "615-740-7025",
            "fax_number": "615-740-9508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Weatherly Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438922",
            "country_code": "US",
            "telephone_number": "931-906-2004",
            "fax_number": "931-906-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "31956",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "31956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.bagwell@vumc.RADONCJV.direct.varian.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "375 Alfred Thun Rd",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370405339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.