Individual provider Active NPI

Jonathan Pesco, M. D.

  • Emergency Medicine Physician
  • Nashville, TN
National Provider Identifier
1447570098
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P8524 Issued in TX
Practice address
4220 Harding Pike
Nashville, TN 37205-2005
Phone
(615) 222-2111
NPI assigned
Jun 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52080 TN
Emergency Medicine Physician 207P00000X P8524 TX Primary

Addresses

Primary practice location

4220 Harding Pike
Nashville, TN 37205-2005

Mailing address

1071 Grove Dr
Naples, FL 34120-1426
Phone (510) 421-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140303000602 TX Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 2860627460 Reassigns benefits to 10 organizations
I20150608001630 TN Practitioner - Family Practice 2860627460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Fairfield LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 2, 2025 Accepting new patients
HCC of Fairfield LLC CurrentSince Jul 1, 2019 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 27, 2024 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Mar 20, 2015 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 19, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

300 20th Ave N
Fl 9
Nashville, TN 37203

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3500 Gaston Ave
Dallas, TX 75246

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: jpesco1257419@direct.sw.org
  • Direct secure messaging: fmcjpesco@yourcarecommunity.org

Organizations & group practices 12

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": "1275782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1447570098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 GROVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201426",
            "telephone_number": "510-421-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCO",
        "first_name": "JONATHAN",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "52080",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P8524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.