Jonathan Coppenger, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24356 Issued in TN

Practice address

1130 Middle Creek Rd Ste 270
Sevierville, TN 37862-3052

Phone

(865) 365-3074

NPI assigned

Jun 29, 2018

Last updated

May 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut Urgent Care Centers, LLCGroup PAC ID 5597015065, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ut Urgent Care Centers LLC

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1801391453
  Medicare reassignment Care Compare group NPD
• Surgical Services of East Tennessee PC

  • Surgery Physician
  • Johnson City, TN
  • NPI 1790201135
  NPD (past)
• Renuven Health Partners of Georgia PC

  • Internal Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1871196519
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• University Health System, Inc.

  dba University of Tennessee Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1790270908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MIDDLE CREEK RD STE 270",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623052",
            "telephone_number": "865-365-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MIDDLE CREEK RD STE 270",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623052",
            "telephone_number": "865-365-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPENGER",
        "first_name": "JONATHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Brooke Conyers, COTA/L
• John T Cook Jr., PHARM D
• Jordan Daniel Cookston
• Jessica Williams Cooper, FNP-C
• Nathan Edward Cope, PHARMD, BCPS
• Cathy Cecile Cordial, LPN
• Ashley Dawn Cornette, FNP-C
• Julianna Elaine Corrado, M.A.
• Katy Coursey, D.O.
• Covenant Medical Group, Inc

• Family Nurse Practitioner in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.