Jimmy Wayne Cheeks Jr., NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8217 Issued in TN

Practice address

754 N Mount Juliet Rd
Mount Juliet, TN 37122-3323

Phone

(615) 754-2828

Fax

(651) 754-2818

NPI assigned

Jul 7, 2006

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jimmy.cheeks@ahp.eclinicaldirectplus.com

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.

• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment Care Compare group NPD
• Mt. Juliet Family Care and Walk-in Clinic, LLC

  • Primary Care Clinic/Center
  • Mount Juliet, TN
  • NPI 1497784631
  Authorized official Same address or phone
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Mt. Juliet Family Care & Walk-in Clinic, LLC

  • Family Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1922546787
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1447282611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223323",
            "telephone_number": "615-754-2828",
            "fax_number": "651-754-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7297 Sparta Pike",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "TN",
            "postal_code": "371844352",
            "country_code": "US",
            "telephone_number": "615-237-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEKS",
        "first_name": "JIMMY",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4083915",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charis Health Center
• Derek B Charles, D.P.T.
• Deep Rameshbhai Chaudhary
• Disha Rameshbhai Chaudhary
• Lee Ann Cheatham, DPT
• Shelley Cheeks, CCC-SLP
• Bezawit Chekol
• Esther Chelladurai, MS, LPC MHSP, LADAC2
• Marianna Cheplick
• Children's Clinic East

• Family Nurse Practitioner in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.