Individual provider Active NPI

Jose Carlos Cruz, RN

  • Family Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1316744790
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40100 Issued in TN
Practice address
2127 Century Farms Pkwy
Antioch, TN 37013-4197
Phone
(615) 781-4000
NPI assigned
Feb 25, 2025
Last updated
Oct 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

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 40100 TN Primary
Emergency Registered Nurse 163WE0003X 220263 TN

Addresses

Primary practice location

2127 Century Farms Pkwy
Antioch, TN 37013-4197

Mailing address

2127 Century Farms Pkwy
Antioch, TN 37013-4197

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
I20260124000280 TN Practitioner - Nurse Practitioner 5698252211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Tennessee PCGroup PAC ID 5395924823, 30 clinicians

Practice addresses (Care Compare)

2070 Wall St
Spring Hill, TN 37174-4208
Phone (615) 567-8965

355 Pleasant Grove Rd
Suite 1400
Mount Juliet, TN 37122-3942
Phone (615) 773-7933

5826 Nolensville Pike
Nashville, TN 37211-6502
Phone (615) 760-1946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220263TNMDEmergency Registered Nurse
40100TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC CurrentSince Jan 1, 2026 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jan 1, 2026 Accepting new patients
Afc Physicians of Tennessee, PC Past Accepting new patients

Locations

1015 Hunters Xing
Alcoa, TN 37701
Phone (856) 238-2006

3520 Cummings Hwy
Chattanooga, TN 37419
Phone (205) 745-4291

1763 Madison St
Clarksville, TN 37043
Phone (931) 278-8000

291 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 265-5008

9203 Kingston Pike
Knoxville, TN 37922
Phone (865) 299-6192

355 Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (615) 773-7933

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

985 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-8500

2070 Wall St
Spring Hill, TN 37174
Phone (615) 567-8965

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1316744790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 CENTURY FARMS PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 CENTURY FARMS PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134197",
            "telephone_number": "615-781-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40100",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "220263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.