Active NPI
Jamaria Jania Southward, CPNP-PC
- Pediatric Nurse Practitioner
- Nashville, TN
National Provider Identifier
1609505320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 248417
- Practice address
- 2500 Charlotte Ave
Nashville, TN 37209-4129 - Phone
- (615) 340-5616
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 248417 | TN | Primary |
Addresses
Primary practice location
2500 Charlotte Ave
Nashville, TN 37209-4129
Mailing address
103 Westgate Dr
Springfield, TN 37172-4602
Phone (615) 516-4309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248417 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Past | Accepting new patients |
Locations
2701 W 68th St
#3S
Chicago, IL 60629
Phone (773) 434-4040
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
600 W Fulton St
Ste 300
Chicago, IL 60661
Interoperability endpoints
- jsouthward26575@direct.achn.net
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1043398217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1609505320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WESTGATE DR",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724602",
"telephone_number": "615-516-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CHARLOTTE AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094129",
"telephone_number": "615-340-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWARD",
"first_name": "JAMARIA",
"middle_name": "JANIA",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "248417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
- Southern Optical Service
- Southern Pain Institute PLLC
- Southern Sports Medicine and Orthopaedic Center, P.C. (Southern Joint Replacement Institute)
- Southern Surgical Apmc Inc
- Southstreet Family Medical Center
- Derrick Sowder, MD
- James Timothy Sowell
- Stephanie Sowienski
- Alexis Nicole Soyster
- Natalie Lauren Soyster
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.