Individual provider Active NPI

Jay Brantley Hathcock, FNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, TN
National Provider Identifier
1386680486
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN7873 Issued in TN
Practice address
155 Innovation Drive
Jackson, TN 38305-3019
Phone
(731) 986-7259
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN7873 TN Primary

Addresses

Primary practice location

155 Innovation Drive
Jackson, TN 38305-3019

Mailing address

52 Rawlingwood CV
Jackson, TN 38305-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000531 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587668827 Reassigns benefits to 5 organizations
I20230915003033 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587668827

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Anesthesia, Inc 107 clinicians

Practice addresses (Care Compare)

367 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

700 W Forest Ave
Suite 100
Jackson, TN 38301-3940
Phone (731) 661-2000

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7873TNMDPharmacist
7973TNMDInternal Medicine Physician
APN7873TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital Current Accepting new patients
City Hospital, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Jefferson Memorial Hospital CurrentSince Sep 18, 2023 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2013 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Mar 15, 2012 Accepting new patients
Baptist Memorial Hospital-Huntingdon CurrentSince Dec 1, 2023 Accepting new patients
Baptist Memorial Hospital-Huntingdon CurrentSince Dec 1, 2023 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Jefferson Memorial Hospital CurrentSince Sep 18, 2023 Accepting new patients
City Hospital Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Dyersburg Hospital Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Baptist Memorial Hospital-Huntingdon Past Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

155 Innovation Dr
Jackson, TN 38305
Phone (731) 986-7259

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Organizations & group practices 14

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.

View all 14

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1386680486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 RAWLINGWOOD CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INNOVATION DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053019",
            "telephone_number": "731-986-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "JAY",
        "middle_name": "BRANTLEY",
        "credential": "FNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN7873",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.