Individual provider Active NPI

Jessica C E Wilson Thomas, M.D., M.P.H.

  • Neurology Physician
  • Murfreesboro, TN
National Provider Identifier
1790909257
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD0000047478 Issued in TN
Practice address
1800 Medical Center Pkwy
Suite 410
Murfreesboro, TN 37129-2567
Phone
(615) 396-6800
Fax
(615) 396-6802
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD0000047478 TN Primary

Addresses

Primary practice location

1800 Medical Center Pkwy
Suite 410
Murfreesboro, TN 37129-2567

Mailing address

326 E Kelso Rd
Columbus, OH 43202-2306
Phone (614) 607-5189

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000800 TN Practitioner - NeurologyPractitioner - Hospitalist 8426216722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Hospitalist
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Suite 505
Franklin, TN 37067-5920
Phone (615) 435-7780

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000047478TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Saint Thomas Medical Partners Neurology CurrentSince Dec 26, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4323 Carothers Pkwy
Ste 500
Franklin, TN 37067
Phone (615) 591-4764

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

1800 Medical Center Pkwy
Ste 410
Murfreesboro, TN 37129
Phone (615) 396-6800

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

300 20th Ave N
Fl 9
Nashville, TN 37203

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1790909257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E KELSO RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022306",
            "telephone_number": "614-607-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY",
            "address_2": "SUITE 410",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292567",
            "telephone_number": "615-396-6800",
            "fax_number": "615-396-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "C E WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000047478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.