Active NPI
Bemis Medical Clinic, Inc.
Doing business as Bemis Medical Clinic,inc II
- Family Nurse Practitioner
- Jackson, TN
National Provider Identifier
1437297744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5538
- Legal business name
- BEMIS MEDICAL CLINIC, INC.
- Doing business as
- Bemis Medical Clinic,inc II
- Practice address
- 219 S Missouri St
Jackson, TN 38301-7464 - Phone
- (731) 422-6630
- Fax
- (731) 935-2866
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy Carolyn Newman, FNP-C
- Title
- Owner and Nurse Practioner
- Phone
- (731) 422-6630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5538 | TN | Primary |
Addresses
Primary practice location
219 S Missouri St
Jackson, TN 38301-7464
Mailing address
219 S Missouri St
Jackson, TN 38301-7464
Phone (731) 422-6630
Other names 1
- Bemis Medical Clinic,inc II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
219 S Missouri St
Jackson, TN 38301
Phone (731) 422-6630
210 N Liberty St
Jackson, TN 38301
Phone (731) 300-0044
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1548794910
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1326367392
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1053467589
-
- Nurse Practitioner
- Jackson, TN
- NPI 1750320933
-
- Nurse Practitioner
- Bells, TN
- NPI 1265420962
-
- Family Nurse Practitioner
- Ripley, TN
- NPI 1497999155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437297744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 S MISSOURI ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017464",
"telephone_number": "731-422-6630",
"fax_number": "731-935-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S MISSOURI ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017464",
"telephone_number": "731-422-6630",
"fax_number": "731-935-2866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEMIS MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "CAROLYN",
"authorized_official_title_or_position": "OWNER AND NURSE PRACTIONER",
"authorized_official_telephone_number": "731-422-6630",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "5538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bemis Medical Clinic,inc II",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.