Jasmine Adams, PA-C – Physician Assistant

Key facts

NPI: 1669011094
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 4195 (TN)
Practice address: 4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356
Phone: (615) 674-0909
Fax: (615) 334-0227
NPI assigned: Jan 2, 2020
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Covenant Family Practice, PC Family Medicine Physician · Clarksville, TN · NPI 1225073166

Medicare reassignment Care Compare group TN

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Clarksville Health System, LLC General Acute Care Hospital · Clarksville, TN · NPI 1285689794

Care Compare affiliation Hospital
Clarksville Home Care Services LLC Home Health Agency · Clarksville, TN · NPI 1427003607

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Covenant Family Practice, PC (15 clinicians)
Select Physical Therapy Holdings Inc (1,992 clinicians)

Practice addresses (Care Compare)

21 W Roby Dr
Erin, TN 37061-6113
Phone (931) 289-2450

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Suncrest Home Health Home health agency · Clarksville, TN · CCN 447298
Vanderbilt Clarksville Hospital Hospital · Clarksville, TN · CCN 440035

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20201113002336	TN	Practitioner - Physician Assistant	7113345182	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
4195	TN	MD	Registered Dietitian

Interoperability endpoints

Direct secure messaging: jasmine.adams.1@18155.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	4195	TN	Yes

Addresses

Primary practice location

4777 Andrew Jackson Pkwy Ste 102
Hermitage, TN 37076-1356

Mailing address

609 Rocky Hill Rd
Clarksville, TN 37042-6019
Phone (615) 513-3984

Other practice location 1

609 Rocky Hill Rd
Clarksville, TN 37042-6019
Phone (615) 513-3984

Other providers in Hermitage, TN

All providers in Hermitage, TN · Physician Assistant in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.