Jami Cook Bartholomew, FNP
Individual provider Active NPI Nurse Practitioner · Olive Branch, MS
NPI 1194168682 · NPPES record last updated Aug 10, 2016
Key facts
- NPI
- 1194168682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 17560 (TN)
- Practice address
- 4250 Bethel Rd
Olive Branch, MS 38654-8737 - Phone
- (662) 932-9000
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist University Emergency Physicians PLLC
Olive Branch Emergency Physicians LLC
Practice addresses (Care Compare)
1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7000
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000
Hospital & facility affiliations
- Methodist Healthcare - Olive Branch Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130613000698 | TN | Practitioner - Nurse Practitioner | 0547409096 | Reassigns benefits to 4 organizations |
| I20130912000360 | MS | Practitioner - Nurse Practitioner | 0547409096 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17560 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmed, LLC | Current |
Accepting new patients | |
| Carr PLLC | Current |
Accepting new patients | |
| Olive Branch Emergency Physicians LLC | Current |
Accepting new patients | |
| Redmed, LLC | Current |
Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
1902 Jackson Ave W
#B
Oxford, MS 38655
Phone (662) 234-6464
12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
Interoperability endpoints
- jbartholomew26977@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 17560 | TN | Yes |
Addresses
Primary practice location
4250 Bethel Rd
Olive Branch, MS 38654-8737
Mailing address
2949 Contiwood CV
Lakeland, TN 38002-9219
Phone (662) 515-7222
Other providers in Olive Branch, MS
- Brett Joseph Balderson
- Wendy Michelle Ballenger
- Stephanie Barclay
- Shawanda Barnes
- Michael David Barnette
- Beacon Behavioral of Mississippi, LLC
- Julie Beal
- Electra K Beard
- Thomas Bass Beasley
- Beauty for Ashes Counseling Services LLC
All providers in Olive Branch, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.