Individual provider Active NPI

Brandon Sims, APN

  • Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1568699858
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5856336 Issued in TN
Practice address
2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone
(731) 984-8400
Fax
(731) 984-8305
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5856336 TN Primary

Addresses

Primary practice location

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087

Mailing address

57 Winston PL
Jackson, TN 38305-1311
Phone (731) 984-8400

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
I20101229000853 TN Practitioner - Nurse Practitioner 4486842879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Quality Care PLLCGroup PAC ID 4385728518, 7 clinicians
West Tennessee Bone and Joint Clinic PCGroup PAC ID 7517940182, 64 clinicians

Practice addresses (Care Compare)

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone (731) 984-8400

50 Capital Ave
Jackson, TN 38305-5507
Phone (731) 661-9825

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12490TNMDDentist
5856336TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Bone and Joint Clinic PC CurrentSince Nov 29, 2018 Accepting new patients

Locations

24 Physicians Dr
Jackson, TN 38305
Phone (731) 661-9825

50 Capital Ave
Jackson, TN 38305
Phone (731) 661-9825

Interoperability endpoints

  • Direct secure messaging: brandon.sims.1@3533.direct.athenahealth.com

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 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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1568699858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WINSTON PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051311",
            "telephone_number": "731-984-8400",
            "fax_number": "731-984-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 PLEASANT PLAINS EXT RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056087",
            "telephone_number": "731-984-8400",
            "fax_number": "731-984-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "5856336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.