Active NPI
Carol Ann Newman, FNP
- Family Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14985
- Practice address
- 1605 S Highland Ave
Jackson, TN 38301-7718 - Phone
- (731) 422-6630
- Fax
- (731) 935-2866
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14985 | TN | Primary |
Addresses
Primary practice location
1605 S Highland Ave
Jackson, TN 38301-7718
Mailing address
219 S Missouri St
Jackson, TN 38301-7464
Phone (731) 422-6630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4275859 | Other | TN | BCBS |
| 1326367392 | Other | TN | NPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 S Highland Ave
Jackson, TN 38301-7718
Phone (731) 424-9741
219 S Missouri St
Jackson, TN 38301-7464
Phone (731) 422-6630
Hospital & facility affiliations
- Jackson-Madison County General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bemis Medical Clinic, Inc. | Family | Current | Accepting new patients |
Locations
219 S Missouri St
Jackson, TN 38301
Phone (731) 422-6630
1605 S Highland Ave
Jackson, TN 38301
Phone (731) 422-6630
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1437297744
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1326367392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 S MISSOURI ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017464",
"telephone_number": "731-422-6630",
"fax_number": "731-935-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 S HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017718",
"telephone_number": "731-422-6630",
"fax_number": "731-935-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "14985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4275859",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326367392",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.