Individual provider Active NPI

Jordan Gulley

  • Family Nurse Practitioner
  • Ringgold, GA
National Provider Identifier
1609400183
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP004482 Issued in GA
Practice address
4645 Battlefield Pkwy
Ringgold, GA 30736-8011
Phone
(423) 648-2362
Fax
(423) 648-9294
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLC 355 clinicians

Practice addresses (Care Compare)

100 Covey Dr
Suite 111
Franklin, TN 37067-5603
Phone (615) 591-4764

13000 Ancient Crest Cir
Apt 13304
Franklin, TN 37067-1447
Phone (931) 680-0602

4488 Carothers Pkwy
Franklin, TN 37067-6581

4588 Carothers Pkwy
Franklin, TN 37067-6577
Phone (615) 716-4747

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200630001006 GA Practitioner - Nurse Practitioner 4981026457 Reassigns benefits to 1 organization
I20221213000225 TN Practitioner - Medical Oncology 4981026457 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP004482GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Nov 28, 2022 Accepting new patients
Tennessee Oncology,PLLC CurrentSince Apr 20, 2024 Accepting new patients
Tennessee Oncology, PLLC CurrentSince Nov 28, 2022 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients
Tennessee Oncology,PLLC Past Accepting new patients

Locations

4645 Battlefield Pkwy
Ringgold, GA 30736
Phone (423) 648-2362

4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050

2200 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 648-2388

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP004482 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

4645 Battlefield Pkwy
Ringgold, GA 30736-8011

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2026.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1609400183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 BATTLEFIELD PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368011",
            "telephone_number": "423-648-2362",
            "fax_number": "423-648-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.