Individual provider Active NPI

Jeffrey John Taylor, NP

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1518329028
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130425 Issued in TX
Practice address
1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822
Phone
(423) 639-0243
Fax
(423) 639-0628
NPI assigned
Mar 23, 2016
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 AP130425 TX Primary

Addresses

Primary practice location

1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

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
I20200903002548 TN Practitioner - Nurse Practitioner 1951609205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Sunset Dr
Suite 3
Johnson City, TN 37604-7906
Phone (423) 588-7130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.8 of 100Reported as group
Quality
92.22
Promoting interoperability
0
Improvement activities
40
Cost
68.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Cancer Specialists PLLC CurrentSince Aug 4, 2020 Accepting new patients
Tennessee Cancer Specialist PLLC CurrentSince Aug 4, 2020 Accepting new patients

Locations

1410 Tusculum Blvd
Ste 2200
Greeneville, TN 37745
Phone (423) 639-0243

1665 E Andrew Johnson Hwy
Ste 2
Greeneville, TN 37745
Phone (423) 639-0243

1301 Sunset Dr
Ste 3
Johnson City, TN 37604
Phone (423) 588-7130

4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1518329028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD STE 2200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455822",
            "telephone_number": "423-639-0243",
            "fax_number": "423-639-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.