Individual provider Active NPI

Jamie Heatherly, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1265127989
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5362 Issued in TN
Practice address
345 Sylvan Park LN
Nashville, TN 37209-4972
Phone
(719) 231-3044
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5362 TN Primary

Addresses

Primary practice location

345 Sylvan Park LN
Nashville, TN 37209-4972

Mailing address

345 Sylvan Park LN
Nashville, TN 37209-4972

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
I20230505001808 TN Practitioner - Physician Assistant 5395100879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5362TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Apr 17, 2023 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Apr 17, 2023 Accepting new patients
Saint Thomas Rheumatology Consultants PLLC CurrentSince Jun 29, 2025 Accepting new patients

Locations

110 Saint Blaise Rd
Ste 100
Gallatin, TN 37066

4230 Harding Pike
Ste 1005
Nashville, TN 37205

4230 Harding Pike
Ste 301
Nashville, TN 37205
Phone (615) 250-9395

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

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

Interoperability endpoints

  • Direct secure messaging: jamie.heatherly.p99@direct.aara1.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1265127989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SYLVAN PARK LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SYLVAN PARK LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094972",
            "telephone_number": "719-231-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATHERLY",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.