Individual provider Active NPI

Jessica Shalai Jones

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1215562947
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02201191 Issued in TN
Practice address
309 Quecreek Cir
Smyrna, TN 37167-6849
Phone
(615) 355-5432
NPI assigned
Mar 3, 2020
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27388 TN
Family Nurse Practitioner 363LF0000X F02201191 TN Primary

Addresses

Primary practice location

309 Quecreek Cir
Smyrna, TN 37167-6849

Mailing address

5419 High Jump Dr
Smyrna, TN 37167-3439
Phone (615) 586-1836

Other practice location 1

300 20th Ave N Ste G1
Nashville, TN 37203-2132
Phone (615) 941-8550

Other identifiers 2

IdentifierTypeStateIssuer
Q081743MedicaidTN
6423967OtherTNBCBS TN

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
I20210803003822 TN Practitioner - Nurse Practitioner 4981008554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murfreesboro Medical Clinic, P.a.Group PAC ID 4789589227, 176 clinicians

Practice addresses (Care Compare)

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 867-7925

6584 Poplar Ave
Suite 406
Memphis, TN 38138-3687
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02201191TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Feb 16, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jul 1, 2021 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 1, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Feb 16, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

3046 Columbia Ave
Ste 208
Franklin, TN 37064

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: jessicajones@mmcsc.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1215562947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 HIGH JUMP DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673439",
            "telephone_number": "615-586-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 QUECREEK CIR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676849",
            "telephone_number": "615-355-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 20th Ave N Ste G1",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032132",
            "country_code": "US",
            "telephone_number": "615-941-8550",
            "fax_number": "615-941-8507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSICA",
        "middle_name": "SHALAI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27388",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F02201191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081743",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6423967",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.