Individual provider Active NPI

Jessie Lee Conner, PA-C

  • Physician Assistant
  • Cookeville, TN
National Provider Identifier
1164199022
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4722 Issued in TN
Practice address
435 N Cedar Ave
Cookeville, TN 38501-2422
Phone
(931) 526-6100
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4722 TN Primary

Addresses

Primary practice location

435 N Cedar Ave
Cookeville, TN 38501-2422

Mailing address

2301 Deer Lodge Hwy
Deer Lodge, TN 37726-4415
Phone (865) 293-6743

Other practice location 1

150 Sam Walton Dr Ste 600
Sparta, TN 38583-8814
Phone (931) 739-4000

Other names 1

  • Jessie Lee Tompkins Former name

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
I20211018001615 TN Practitioner - Physician Assistant 0042618308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

101 W Broad St
Smithville, TN 37166-1915
Phone (855) 632-3278

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

570 W Main St
Cookeville, TN 38506-5382
Phone (855) 632-3278

817 W Main St
Livingston, TN 38570-1721
Phone (931) 253-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4722TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 4, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 4, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

665 N Main St
Crossville, TN 38555
Phone (931) 337-0510

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555

3813 Old Port Royal Rd N
Spring Hill, TN 37174
Phone (931) 487-1006

910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Organizations & group practices 4

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1164199022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 DEER LODGE HWY",
            "city": "DEER LODGE",
            "state": "TN",
            "postal_code": "377264415",
            "telephone_number": "865-293-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012422",
            "telephone_number": "931-526-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Sam Walton Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "TN",
            "postal_code": "385838814",
            "country_code": "US",
            "telephone_number": "931-739-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JESSIE",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "TOMPKINS",
            "middle_name": "LEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.