Individual provider Active NPI

Jerin C Alexander, APN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1508411729
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26178 Issued in TN
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

Updated by the provider on Aug 5, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014002950 TN Practitioner - Nurse Practitioner 0345571899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26178TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Care LLC CurrentSince Sep 3, 2024 Accepting new patients

Locations

980 Highway 28
Ste 100
Jasper, TN 37347
Phone (423) 939-1500

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.