Jean Tennant, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

581 Issued in TN

Practice address

1612 N Main St
Suite a
Shelbyville, TN 37160-2391

Phone

(931) 685-2022

Fax

(931) 685-4158

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erica.rogers.2@1597.direct.athenahealth.com

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.

• Vanderbilt Bedford Hospital, LLC

  • Internal Medicine Physician
  • Shelbyville, TN
  • NPI 1750977989
  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Christian Family Medicine, LLC

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  Medicare reassignment
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1730484684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST",
            "address_2": "SUITE A",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602391",
            "telephone_number": "931-685-2022",
            "fax_number": "931-685-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST",
            "address_2": "SUITE A",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602391",
            "telephone_number": "931-685-2022",
            "fax_number": "931-685-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.rogers.2@1597.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1612 N Main St",
            "address_2": "Suite A",
            "city": "Shelbyville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371602391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric S Swanson, PHARMACIST
• John Vance Sweeney, PHARM. D
• Roslyn Carolyn Sword, PHARM.D.
• Martha Talley, RN
• Janeane Jakes Taylor, A.T.,C.
• Tennessee CVS Pharmacy, L.L.C.
• Tennessee Em-I Medical Services PC
• Tennessee Homecare Alliance LLC
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology PLLC

• Medical Physician Assistant in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.

Verify at the official NPI Registry.