Active NPI
Jerin C Alexander, APN
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1508411729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26178
- Practice address
- 6918 Shallowford Rd Ste 226
Chattanooga, TN 37421-1552 - Phone
- (423) 855-0841
- Fax
- (423) 894-7726
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26178 | TN | Primary |
Addresses
Primary practice location
6918 Shallowford Rd Ste 226
Chattanooga, TN 37421-1552
Mailing address
6918 Shallowford Rd Ste 206
Chattanooga, TN 37421-1782
Phone (423) 855-2552
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26178 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Care LLC | Current | Accepting new patients |
Locations
980 Highway 28
Ste 100
Jasper, TN 37347
Phone (423) 939-1500
Interoperability endpoints
- jerin.alexander@488678167609348.direct.elationemr.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.
-
- Pediatrics Physician
- Jasper, TN
- NPI 1417376195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1508411729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6918 SHALLOWFORD RD STE 206",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211782",
"telephone_number": "423-855-2552",
"fax_number": "423-510-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6918 SHALLOWFORD RD STE 226",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211552",
"telephone_number": "423-855-0841",
"fax_number": "423-894-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JERIN",
"middle_name": "C",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "26178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.