Active NPI
Jay Brantley Hathcock, FNP, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN7873
- 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
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 |
|---|---|---|---|---|
| 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, WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7873 | TN | MD | Pharmacist |
| 7973 | TN | MD | Internal Medicine Physician |
| APN7873 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| City Hospital, Inc. | Current | Accepting new patients | |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Anesthesia Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Tennessee, PLLC | Current | Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current | Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson Memorial Hospital | Current | 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.
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1447591730
Nurse Anesthetist, Certified Registered, TN
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
Nurse Anesthetist, Certified Registered, TN
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered, TN
-
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1942503164
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1336657493
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1316364953
-
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
-
- Psychiatric Hospital Unit
- Huntingdon, TN
- NPI 1013324425
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
Hospital
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.