Jamie Elise Gonzales, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2652 Issued in TN

Practice address

112 Airport Business Park Dr
Ste H
Shelbyville, TN 37160-7452

Phone

(931) 680-6360

NPI assigned

Oct 23, 2014

Last updated

Oct 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jamie Elise Troupe Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.88 of 100Reported as group

Quality

86.06

Promoting interoperability

99

Improvement activities

40

Cost

74.53

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jamie.gonzales.1@1955.direct.athenahealth.com

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.

• Cardiology & Vascular Associates

  • Cardiovascular Disease Physician
  • Tullahoma, TN
  • NPI 1891152104
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1215332986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK DR",
            "address_2": "STE H",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607452",
            "telephone_number": "931-680-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK DR",
            "address_2": "STE H",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607452",
            "telephone_number": "931-680-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JAMIE",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "TROUPE",
            "middle_name": "ELISE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Leander Gilmore, DDS
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• Glen Oaks, LLC (Glen Oaks Health and Rehabilitation)
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• Jennifer Gray
• Jeremy Gray
• Carol A Green, RN
• Andre Gregory, DC MS
• Laura Bethany Griffin, PTA

• Medical Physician Assistant in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.