Individual provider Active NPI

Jamie Tucker, PA

  • Physician Assistant
  • Cookeville, TN
National Provider Identifier
1285639401
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
302 Issued in TN
Practice address
142 W 5TH St
Cookeville, TN 38501-1760
Phone
(866) 313-5259
Fax
(205) 313-5298
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 302 TN Primary

Addresses

Primary practice location

142 W 5TH St
Cookeville, TN 38501-1760

Mailing address

PO Box 938
Cookeville, TN 38503-0938
Phone (866) 313-5259

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511001353 TN Practitioner - Allergy/Immunology 4587639091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

Practice addresses (Care Compare)

100 W 4TH St
Suite 250
Cookeville, TN 38501-2492
Phone (865) 584-8588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302TNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, P.a. CurrentSince Apr 11, 2023 Accepting new patients
Allergy Associates, PA CurrentSince Apr 11, 2023 Accepting new patients
Medical Observation Services LLC Past Accepting new patients
Volunteer Medical Group, P.C. Past Accepting new patients
Allergy Associates PA Past Accepting new patients

Locations

100 W 4th St
Ste 250
Cookeville, TN 38501
Phone (800) 600-7551

60 Crossville Medical Dr
Ste 104
Crossville, TN 38555
Phone (931) 456-2990

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

153 Vo Tech Dr
McMinnville, TN 37110
Phone (931) 474-1140

5002 Crossings Cir
Ste 180
Mt Juliet, TN 37122
Phone (615) 583-5151

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285639401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385030938",
            "telephone_number": "866-313-5259",
            "fax_number": "205-313-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W 5TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011760",
            "telephone_number": "866-313-5259",
            "fax_number": "205-313-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JAMIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.