Individual provider Active NPI

Erin Carner, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1285052209
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A810586 Issued in MS
Practice address
119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998
Phone
(865) 673-6741
Fax
(865) 673-6634
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 A810586 MS Primary
Family Nurse Practitioner 363LF0000X 20819 TN

Addresses

Primary practice location

119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998

Mailing address

119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998
Phone (865) 673-6741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140604002535 MS Practitioner - Nurse Practitioner 0840414272 Reassigns benefits to 1 organization
I20160217000901 TN Practitioner - Nurse Practitioner 0840414272 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A810586MSMDFamily Nurse Practitioner
20819TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2016 Accepting new patients
Ut Methodist Physicians LLC CurrentSince Jan 31, 2026 Accepting new patients
Olive Branch Family Medical Center CurrentSince Apr 7, 2014 Accepting new patients
Professional Imaging of Tennessee Past Accepting new patients

Locations

1950 Grandview Dr
Grenada, MS 38901
Phone (662) 226-9554

9075 Sandidge Center Cv
Olive Branch, MS 38654
Phone (662) 895-4949

2782 Star Landing Rd E
Southaven, MS 38672
Phone (662) 291-7651

1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ecarner25662@mlh.direct-ci.com

Organizations & group practices 4

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1285052209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154998",
            "telephone_number": "865-673-6741",
            "fax_number": "865-673-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154998",
            "telephone_number": "865-673-6741",
            "fax_number": "865-673-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNER",
        "first_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810586",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.