Individual provider Active NPI

Jaycey Annette McNeese, FNP- C

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1417793183
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36174 Issued in TN
Practice address
1503 Hatcher LN Ste 200
Columbia, TN 38401-4833
Phone
(931) 236-3116
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 36174 TN Primary

Addresses

Primary practice location

1503 Hatcher LN Ste 200
Columbia, TN 38401-4833

Mailing address

337 McKibbon LN
Pulaski, TN 38478-3117
Phone (931) 309-9757

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
I20241121000901 TN Practitioner - Nurse Practitioner 8628503166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1805 N Jackson St
Suite 11And12
Tullahoma, TN 37388-2290
Phone (931) 455-9118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America - Tennessee, LLC Family CurrentSince Jul 31, 2024 Accepting new patients
Community Hospices of America - Tennessee, LLC PastSince Jul 31, 2024 Accepting new patients

Locations

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

830 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-2840

1503 Hatcher Ln
Ste 201
Columbia, TN 38401
Phone (931) 381-4090

1503 Hatcher Ln
Ste 200
Columbia, TN 38401
Phone (931) 236-3116

181 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 766-3745

1805 N Jackson St
Ste 11
Tullahoma, TN 37388
Phone (931) 455-9118

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1417793183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MCKIBBON LN",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783117",
            "telephone_number": "931-309-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 HATCHER LN STE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014833",
            "telephone_number": "931-236-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEESE",
        "first_name": "JAYCEY",
        "middle_name": "ANNETTE",
        "credential": "FNP- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.