Individual provider Active NPI

James Eldridge, NP

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1477951036
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19423 Issued in TN
Practice address
144 Jack Farrar LN
Tullahoma, TN 37388-2398
Phone
(931) 968-3145
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19423 TN Primary

Addresses

Primary practice location

144 Jack Farrar LN
Tullahoma, TN 37388-2398

Mailing address

300 Seven Springs Way
Brentwood, TN 37027-6069
Phone (931) 967-0543

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
I20170426002620 TN Practitioner - Nurse Practitioner 0143507228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

144 Jack Farrar LN
Tullahoma, TN 37388-2398
Phone (931) 968-1236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19423TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Feb 1, 2024 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Feb 1, 2024 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

1272 Garrison Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 893-4896

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

144 Jack Farrar Ln
Tullahoma, TN 37388
Phone (931) 455-0120

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: james.eldridge.1@19363.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1477951036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276069",
            "telephone_number": "931-967-0543",
            "fax_number": "931-967-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 JACK FARRAR LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882398",
            "telephone_number": "931-968-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "JAMES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.