Individual provider Active NPI

Jeffrey Wayne Margeson, NP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1215575832
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227678 Issued in TN
Practice address
403 N State of Franklin Rd
Johnson City, TN 37604-6034
Phone
(423) 431-7011
NPI assigned
Dec 13, 2019
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227678 TN Primary

Addresses

Primary practice location

403 N State of Franklin Rd
Johnson City, TN 37604-6034

Mailing address

1812 Broadmoor Rd
Johnson City, TN 37604-3002
Phone (423) 262-9845

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
I20211118001257 TN Practitioner - Nurse Practitioner 5597154278 Reassigns benefits to 2 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
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227678TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karing Hearts Cardiology PC CurrentSince Oct 15, 2021 Accepting new patients
Southeastern Physician Services PC CurrentSince Mar 1, 2024 Accepting new patients
Karing Hearts Cardiology, PLLC Past Accepting new patients

Locations

627 N Main Ave
Erwin, TN 37650
Phone (423) 341-0629

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

701 N State of Franklin Rd
Ste 2
Johnson City, TN 37604
Phone (423) 477-0600

403 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-7042

701 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 232-7600

701 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 850-0776

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1215575832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BROADMOOR RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043002",
            "telephone_number": "423-262-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046034",
            "telephone_number": "423-431-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGESON",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "227678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.