Jeannie M Swafford, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1755 Issued in TN

Practice address

450 Professional Park Dr
Suite C
Goodlettsville, TN 37072-2180

Phone

(615) 859-1440

Fax

(615) 859-0145

NPI assigned

Sep 18, 2009

Last updated

Sep 18, 2009By the provider in NPPES

Sex

Female

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

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robertson County Physical Medicine LLCGroup PAC ID 0244496925, 3 clinicians

Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Robertson County Physical Medicine LLC

  • General Practice Physician
  • Springfield, TN
  • NPI 1790045060
  Medicare reassignment Care Compare group
• Moore Life Healthcare, PC

  dba Moore Life Urgent Care

  • Urgent Care Clinic/Center
  • Gallatin, TN
  • NPI 1760877419
  Medicare reassignment
• Champion Sports Medicine Birmingham, LLC.

  dba Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516
  Care Compare group

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1811220130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370700710",
            "telephone_number": "615-859-1440",
            "fax_number": "615-859-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROFESSIONAL PARK DR",
            "address_2": "SUITE C",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722180",
            "telephone_number": "615-859-1440",
            "fax_number": "615-859-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAFFORD",
        "first_name": "JEANNIE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stoneridge Health Care, LLC (Ridgetop Haven Health Care Center)
• Heather Nicole Sturgeon, MSN, PMHNP-BC
• Imad S Sultan, LMT
• Summit Medical Group,PLLC (Goodlettsville Pediatric)
• Angel L. Sutton, M.S.
• Bill Wayne Swilley, D.O.
• Laila Tawfik, OD
• Jennifer Scarlato Tekiele, OD
• Aaron Craig Templeton, FNP-BC
• Tennessee Hearing Instrument Specialists LLC

• Medical Physician Assistant in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.