Individual provider Active NPI

Jill McDowell Newsome, M.D.

  • Pediatrics Physician
  • Seymour, TN
National Provider Identifier
1437161098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
028890 Issued in TN
Practice address
212 Phoenix CT
Suite 1
Seymour, TN 37865-3908
Phone
(865) 577-6475
Fax
(865) 577-7942
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 028890 TN Primary

Addresses

Primary practice location

212 Phoenix CT
Suite 1
Seymour, TN 37865-3908

Mailing address

858 Garners Landing Blvd
Seymour, TN 37865-4132
Phone (865) 577-4311

Other identifiers 3

IdentifierTypeStateIssuer
4111397OtherTNBCBS-TN
3497524MedicaidTN
TN0101OtherTNJOHN DEERE HEALTH

Other names 1

  • Dr. Jill Annette McDowell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028890TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Pediatrics, P.C. Pediatrics PastSince Mar 1, 2021 Accepting new patients
Kids Choice Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJIAA/Endpoint/IHJIAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437161098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 GARNERS LANDING BLVD",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654132",
            "telephone_number": "865-577-4311",
            "fax_number": "865-577-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PHOENIX CT",
            "address_2": "SUITE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653908",
            "telephone_number": "865-577-6475",
            "fax_number": "865-577-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "JILL",
        "middle_name": "MCDOWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "028890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TN",
            "identifier": "4111397",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3497524",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MCDOWELL",
            "middle_name": "ANNETTE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.