Organization Active NPI

Beating Pulse LLC

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1194417022
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Nov 14, 2023

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-BCNPI 1285375543
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
Q076555MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2294170Beating Pulse LLC529 Brandies Circle, Murfreesboro, TN 37128Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.