Active NPI
Beating Pulse LLC
- Family Medicine Physician
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BEATING PULSE LLC
- Practice address
- 529 Brandies Cir
Murfreesboro, TN 37128-0710 - Phone
- (615) 542-6439
- Fax
- (747) 215-5340
- NPI assigned
- May 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul A Jackson Jr., FNP-BC
- Title
- Ceo
- Phone
- (615) 797-8573
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
529 Brandies Cir
Murfreesboro, TN 37128-0710
Mailing address
5350 Cavendish Dr
Murfreesboro, TN 37128-2732
Phone (615) 542-6439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q076555 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230804001039 | TN | Part B Supplier - Clinic/Group Practice | 8527429646 |
Receives reassigned benefits from 1 practitioner Practice locations: Murfreesboro, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2294170 | Beating Pulse LLC | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
211 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 797-8573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699920000000",
"number": "1194417022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 CAVENDISH DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371282732",
"telephone_number": "615-542-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 BRANDIES CIR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371280710",
"telephone_number": "615-542-6439",
"fax_number": "747-215-5340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEATING PULSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-22",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-797-8573",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q076555",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.