Active NPI
Alan C Dejarnatt, MD
- Allergy & Immunology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 19924
- Practice address
- 464 N Parkway
Suite D
Jackson, TN 38305-2810 - Phone
- (731) 660-0138
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 19924 | TN | Primary |
Addresses
Primary practice location
464 N Parkway
Suite D
Jackson, TN 38305-2810
Mailing address
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Tennessee, HSC, College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Mackey Branch Dr
Suite 114
Chattanooga, TN 37421-3483
Phone (800) 999-1249
464 N Pkwy
Suite D
Jackson, TN 38305-2810
Phone (731) 660-0138
6401 Poplar Ave
Suite 300
Memphis, TN 38119-4810
Phone (800) 999-1249
980 Hwy 28
Suite 103
Jasper, TN 37347-3696
Phone (800) 999-1249
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Allergy & Immunology | Current | Accepting new patients |
| Mid-South Dermatology, PC | Past | Accepting new patients |
Locations
9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585
464 N Parkway
Ste D
Jackson, TN 38305
Phone (731) 660-0138
9755 US Highway 64
Ste 101
Lakeland, TN 38002
Phone (901) 587-5928
6401 Poplar Ave
Ste 300
Memphis, TN 38119
Phone (901) 751-6100
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.
-
dba Family Allergy & Asthma
- Allergy & Immunology Physician
- Louisville, KY
- NPI 1881785947
TN
-
- Dermatology Physician
- Bartlett, TN
- NPI 1720011679
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1598750184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 SHELBYVILLE RD",
"address_2": "STE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232992",
"telephone_number": "502-429-8585",
"fax_number": "502-429-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 N PARKWAY",
"address_2": "SUITE D",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052810",
"telephone_number": "731-660-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJARNATT",
"first_name": "ALAN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "19924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.