Individual provider Active NPI

Jessica Massey Garcia, NP-C

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1770113920
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29152 Issued in TN
Practice address
1123 E Lamar Alexander Pkwy
Maryville, TN 37804-5130
Phone
(865) 724-0867
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29152 TN Primary

Addresses

Primary practice location

1123 E Lamar Alexander Pkwy
Maryville, TN 37804-5130

Mailing address

1220 Bill Wallace Dr
Friendsville, TN 37737-2558
Phone (865) 712-6479

Other names 1

  • Jessica Massey Medlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200311002006 SC Practitioner - Nurse Practitioner 2668800376 Reassigns benefits to 1 organization
I20210921000594 TN Practitioner - Nurse Practitioner 2668800376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 W Broadway Ave
Maryville, TN 37801-4703

10401 Kingston Pike
Knoxville, TN 37922-3282

1220 Bill Wallace Dr
Friendsville, TN 37737-2558

232 Associates Blvd
Alcoa, TN 37701-1943

415 W Golf Rd
Arlington Heights, IL 60005-3923

444 E Roosevelt Rd
Suite 256
Lombard, IL 60148-4630

6348 Lonas Spring Dr
Knoxville, TN 37909-2719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29152TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Pain Management, PC CurrentSince May 20, 2023 Accepting new patients
Alliance Pain Management LLC CurrentSince Jun 17, 2024 Accepting new patients
Alliance Pain Management LLC CurrentSince Jun 17, 2024 Accepting new patients
Curana Health of South Carolina PC CurrentSince Jan 28, 2020 Accepting new patients

Locations

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

6348 Lonas Spring Dr
Knoxville, TN 37909
Phone (865) 337-5137

1123 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (570) 867-1617

1111 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 724-0867

Interoperability endpoints

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

Organizations & group practices 4

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1770113920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BILL WALLACE DR",
            "city": "FRIENDSVILLE",
            "state": "TN",
            "postal_code": "377372558",
            "telephone_number": "865-712-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045130",
            "telephone_number": "865-724-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESSICA",
        "middle_name": "MASSEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MEDLIN",
            "middle_name": "MASSEY",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.