Organization Active NPI

Bemis Medical Clinic, Inc.

Doing business as Bemis Medical Clinic,inc II

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1437297744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5538 Issued in TN
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000537 TN Part B Supplier - Clinic/Group Practice 9133220981 Receives reassigned benefits from 6 practitioners
Practice locations: Jackson, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.