Individual provider Active NPI

Martha Lemons, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1629469184
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
19449 Issued in TN
Practice address
1195 Old Hickory Blvd Ste 102
Brentwood, TN 37027
Phone
(615) 834-7777
Fax
(615) 834-7888
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 19449 TN Primary

Addresses

Primary practice location

1195 Old Hickory Blvd Ste 102
Brentwood, TN 37027

Mailing address

5801 Crossings Blvd
Antioch, TN 37013-3130

Other identifiers 1

IdentifierTypeStateIssuer
Q102183MedicaidTN

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
I20150424000549 TN Practitioner - Nurse Practitioner 8729307731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 590
Nashville, TN 37207-2520
Phone (615) 637-7463

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19449TNMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain & Spine Center, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Premier Pain & Spine Center, PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1195 Old Hickory Blvd
Ste 102
Brentwood, TN 37027
Phone (615) 435-3235

3443 Dickerson Pike
Ste 590
Nashville, TN 37207
Phone (615) 637-7463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IECEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDECD
  • Direct secure messaging: martha.lemons@ppscp.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1629469184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CROSSINGS BLVD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-834-7777",
            "fax_number": "615-834-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "MARTHA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "19449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q102183",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.