Individual provider Active NPI

Justin Cooper Jex, D.P.M.

  • Podiatrist
  • Nashville, TN
National Provider Identifier
1437187390
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
828 Issued in TN
Practice address
397 Wallace Rd Ste 311
Nashville, TN 37211-8027
Phone
(615) 712-7366
Fax
(615) 712-7858
NPI assigned
Jun 29, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001259 GA
Podiatrist 213E00000X 1655 TX
Podiatrist 213E00000X 828 TN Primary

Addresses

Primary practice location

397 Wallace Rd Ste 311
Nashville, TN 37211-8027

Mailing address

397 Wallace Rd Ste 311
Nashville, TN 37211-8027
Phone (615) 712-7366

Other practice location 1

515 Highland Ter Ste B
Murfreesboro, TN 37130-2424
Phone (615) 890-6624

Other practice location 2

20 Glenlake Parkway
Kaiser Permanente Glenlake Comprehensive Specialty Cent
Atlanta, GA 30328
Phone (770) 677-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141029001275 GA Practitioner - Podiatry 8820988660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
828TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Podiatrist CurrentSince Sep 2, 2014 Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437187390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 311",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118027",
            "telephone_number": "615-712-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 311",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118027",
            "telephone_number": "615-712-7366",
            "fax_number": "615-712-7858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Highland Ter Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302424",
            "country_code": "US",
            "telephone_number": "615-890-6624",
            "fax_number": "615-849-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Glenlake Parkway",
            "address_2": "Kaiser Permanente Glenlake Comprehensive Specialty Cent",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30328",
            "country_code": "US",
            "telephone_number": "770-677-6075",
            "fax_number": "281-859-8199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEX",
        "first_name": "JUSTIN",
        "middle_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001259",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1655",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.