Individual provider Active NPI

Jennifer Dawn McHenry, FNP

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1437561750
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN280678 Issued in GA
Practice address
1940 Westland Dr SW
Cleveland, TN 37311-8102
Phone
(423) 813-3600
NPI assigned
May 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 161794 TN
Family Nurse Practitioner 363LF0000X RN280678 GA Primary

Addresses

Primary practice location

1940 Westland Dr SW
Cleveland, TN 37311-8102

Mailing address

302 Point North PL
Dalton, GA 30720-2644
Phone (706) 272-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181009000276 GA Practitioner - Nurse Practitioner 0547512279
I20190720000044 TN Practitioner - Nurse Practitioner 0547512279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

170 Mouse Creek Rd NW
Cleveland, TN 37312-3840
Phone (423) 458-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
161794TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Urgent Care Centers of East Tennessee, P.C. CurrentSince Apr 15, 2019 Accepting new patients
Theoria Medical CurrentSince Oct 18, 2024 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1940 Westland Dr SW
Cleveland, TN 37311
Phone (423) 202-8132

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

4021 Keith St NW
Cleveland, TN 37312
Phone (423) 476-2464

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1437561750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 POINT NORTH PL",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202644",
            "telephone_number": "706-272-4127",
            "fax_number": "706-279-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 WESTLAND DR SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373118102",
            "telephone_number": "423-813-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-12-10",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "161794",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN280678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.