Individual provider Active NPI

Jessica Meyers, MPAP, PA-C

  • Physician Assistant
  • Mt Juliet, TN
National Provider Identifier
1780022731
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000004858 Issued in TN
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HL031ZOtherPTAN

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

LicenseStateTypeSpecialty
7733AZMDPhysician Assistant
TPPA234FLMDPhysician Assistant
2022039654MOMDPhysician Assistant
0010-12860NCMDPhysician Assistant
PA0000004858TNMDPhysician Assistant
0110008415VAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.