Individual provider Active NPI

Jordan Nicole Pearson, DNP, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1467335141
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
39223 Issued in TN
Practice address
335 24TH Ave N Ste 120
Nashville, TN 37203-1505
Phone
(615) 342-0290
Fax
(615) 342-0289
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 39223 TN Primary
Nurse Practitioner 363L00000X 39223 TN

Addresses

Primary practice location

335 24TH Ave N Ste 120
Nashville, TN 37203-1505

Mailing address

335 24TH Ave N Ste 120
Nashville, TN 37203-1505
Phone (615) 342-0290

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251013002595 TN Practitioner - Nurse Practitioner 5193212330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Surgical Clinic, LLCGroup PAC ID 6800079963, 17 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

335 24TH Ave N
Suite 120
Nashville, TN 37203-1505
Phone (615) 342-0290

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Surgical Clinic, LLC Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients

Locations

2400 Patterson St
#212
Nashville, TN 37203

335 24th Ave N
Ste 120
Nashville, TN 37203
Phone (615) 342-0290

Interoperability endpoints

  • Direct secure messaging: jordan.pearson@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1467335141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 24TH AVE N STE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031505",
            "telephone_number": "615-342-0290",
            "fax_number": "615-342-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 24TH AVE N STE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031505",
            "telephone_number": "615-342-0290",
            "fax_number": "615-342-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "credential": "DNP, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "39223",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "39223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.