Active NPI
Jessica Meyers, MPAP, PA-C
- Physician Assistant
- Mt Juliet, TN
National Provider Identifier
1780022731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0000004858
- Practice address
- 651 S Mount Juliet Rd # 1124
Mt Juliet, TN 37122-6319 - Phone
- (615) 861-1461
- NPI assigned
- Jun 12, 2013
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22987 | CA | |
| Physician Assistant | 363A00000X | 7733 | AZ | |
| Physician Assistant | 363A00000X | 0110008415 | VA | |
| Physician Assistant | 363A00000X | TPPA234 | FL | |
| Physician Assistant | 363A00000X | 2022039654 | MO | |
| Physician Assistant | 363A00000X | 0010-12860 | NC | |
| Physician Assistant | 363A00000X | PA0000004858 | TN | Primary |
Addresses
Primary practice location
651 S Mount Juliet Rd # 1124
Mt Juliet, TN 37122-6319
Mailing address
1074 Nealcrest Cir
Spring Hill, TN 37174-2689
Phone (858) 354-4527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HL031Z | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7733 | AZ | MD | Physician Assistant |
| TPPA234 | FL | MD | Physician Assistant |
| 2022039654 | MO | MD | Physician Assistant |
| 0010-12860 | NC | MD | Physician Assistant |
| PA0000004858 | TN | MD | Physician Assistant |
| 0110008415 | VA | MD | Physician Assistant |
Interoperability endpoints
- jessica.meyers@166622370791428.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1780022731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 NEALCREST CIR",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742689",
"telephone_number": "858-354-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 S MOUNT JULIET RD # 1124",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371226319",
"telephone_number": "615-861-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "JESSICA",
"credential": "MPAP, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22987",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7733",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008415",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "TPPA234",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2022039654",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12860",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA0000004858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "HL031Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.