Active NPI
Jennifer M Gatlin, AGACNP-BC
- Acute Care Nurse Practitioner
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26897
- Practice address
- 2120 Exeter Rd Ste 250
Germantown, TN 38138-3931 - Phone
- (901) 767-5864
- Fax
- (901) 767-6591
- NPI assigned
- Dec 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 903786 | MS | |
| Acute Care Nurse Practitioner | 363LA2100X | 26897 | TN | Primary |
Addresses
Primary practice location
2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
401 Southcrest Cir Ste 212
Southaven, MS 38671-6721
Phone (662) 349-0488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864
Hospital & facility affiliations
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.71 of 100
- Quality
- 71.4
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26897 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Lung Physicians Foundation, Inc. | Acute Care | Current | Accepting new patients |
| Memphis Lung Physicians, P.C. | Past | Accepting new patients |
Locations
363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488
401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270
1500 W Poplar Ave
Ste 309
Collierville, TN 38017
Phone (901) 767-5864
2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6025 Walnut Grove Rd
Ste 508
Memphis, TN 38120
Phone (901) 767-5864
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.
-
- Pulmonary Disease Physician
- Germantown, TN
- NPI 1811279656
Acute Care, MS
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
-
- Pulmonary Disease Physician
- Memphis, TN
- NPI 1053340166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1679110704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 EXETER RD STE 250",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383931",
"telephone_number": "901-767-5864",
"fax_number": "901-767-6591"
}
],
"practiceLocations": [
{
"address_1": "401 Southcrest Cir Ste 212",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386716721",
"country_code": "US",
"telephone_number": "662-349-0488",
"fax_number": "662-349-5974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATLIN",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "903786",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "26897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.