Individual provider Active NPI

Anthony M. Jett, NP

  • Registered Nurse
  • Knoxville, TN
National Provider Identifier
1235757535
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0000176774 Issued in TN
Practice address
4754 Cabbage LN
Knoxville, TN 37938-3179
Phone
(865) 771-9855
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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 31292 TN
Registered Nurse 163W00000X 0000176774 TN Primary

Addresses

Primary practice location

4754 Cabbage LN
Knoxville, TN 37938-3179

Mailing address

4754 Cabbage LN
Knoxville, TN 37938-3179
Phone (865) 771-9855

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
I20220516000474 TN Practitioner - Nurse Practitioner 4688051576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

1025 Crestway Dr
Athens, TN 37303-4152
Phone (423) 453-4722

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000176774TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Apr 25, 2022 Accepting new patients
Health at Home Therapy - Knoxville, LLC Past Accepting new patients

Locations

1025 Crestway Dr
Athens, TN 37303
Phone (423) 453-4721

2745 Executive Park NW
Cleveland, TN 37312
Phone (423) 473-1611

1775 Mount Vernon Dr NW
Cleveland, TN 37311
Phone (423) 473-7300

200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771

83 Kentucky Ave
Oak Ridge, TN 37830
Phone (865) 294-5489

100 Elmhurst Dr
Oak Ridge, TN 37830
Phone (865) 481-3367

204 Industrial Park Ln
Rocky Top, TN 37769
Phone (865) 426-2141

860 Wolf Creek Trl
Abingdon, VA 24210
Phone (276) 628-1621

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1235757535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 CABBAGE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383179",
            "telephone_number": "865-771-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 CABBAGE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383179",
            "telephone_number": "865-771-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31292",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000176774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.