Individual provider Active NPI

Jeremy Austin, NP-C

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1285293704
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN26151 Issued in TN
Practice address
10810 Parkside Dr Ste G15
Knoxville, TN 37934-1921
Phone
(865) 218-7444
Fax
(865) 218-7445
NPI assigned
Jun 8, 2019
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN26151 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste G15
Knoxville, TN 37934-1921

Mailing address

10810 Parkside Dr Ste G15
Knoxville, TN 37934-1921
Phone (865) 218-7444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.austin.1@4694.direct.athenahealth.com

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
I20200208000000 TN Practitioner - Nurse Practitioner 2769818822 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
Edmunds Gastroenterology PLLCGroup PAC ID 4486908969, 4 clinicians

Practice addresses (Care Compare)

4713 Papermill Dr
Knoxville, TN 37909-1908
Phone (865) 851-7771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.2 of 100Reported as group
Quality
70.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients
Edmunds Gastroenterology, PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

10810 Parkside Dr
Ste G15
Knoxville, TN 37934
Phone (865) 218-6222

4713 Papermill Dr
Knoxville, TN 37909
Phone (865) 696-2906

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

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, 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": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1285293704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE G15",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341921",
            "telephone_number": "865-218-7444",
            "fax_number": "865-218-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE G15",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341921",
            "telephone_number": "865-218-7444",
            "fax_number": "865-218-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JEREMY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN26151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.austin.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10810 Parkside Dr Ste G15",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.