Individual provider Active NPI

Timothy Jordan Jimison, AG-ACNP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1730947953
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
35906 Issued in TN
Practice address
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone
(865) 331-1111
NPI assigned
Mar 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 35906 TN Primary

Addresses

Primary practice location

1901 Clinch Ave
Knoxville, TN 37916-2307

Mailing address

3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040

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
I20240802001742 TN Practitioner - Nurse Practitioner 3476090861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35906TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Inpatient LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Isaac Spine Joint & Pain Institute CurrentSince Dec 2, 2024 Accepting new patients
Isaac Spine, Joint & Pain Institute CurrentSince Dec 2, 2024 Accepting new patients

Locations

1900 N Winston Rd
Ste 501
Knoxville, TN 37919
Phone (865) 909-0090

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

2004 Hayes St
Ste 655
Nashville, TN 37203
Phone (615) 866-9040

3320 Perimeter Hill Dr
Nashville, TN 37211
Phone (615) 502-0952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIBCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1730947953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PERIMETER HILL DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114123",
            "telephone_number": "615-866-9040",
            "fax_number": "615-750-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162307",
            "telephone_number": "865-331-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMISON",
        "first_name": "TIMOTHY",
        "middle_name": "JORDAN",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "35906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.