Individual provider Active NPI

Carol Ann Newman, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1326367392
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14985 Issued in TN
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4275859OtherTNBCBS
1326367392OtherTNNPI

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
I20101021000365 TN Practitioner - Nurse Practitioner 4486847555 Reassigns benefits to 1 organization

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
Bemis Medical Clinic, Inc.Group PAC ID 9133220981, 3 clinicians

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 Hospital, Jackson, TN, CCN 440002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bemis Medical Clinic, Inc. Family CurrentSince May 20, 2024 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.

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": "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

Verify at the official NPI Registry.