Jeanne Marie Bohrer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

57093 Issued in TN

Practice address

610 Cosby Hwy
Newport, TN 37821-3414

Phone

(423) 625-7777

Fax

(423) 625-4903

NPI assigned

Sep 30, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Summit Medical Group,PLLC

  • Internal Medicine Physician
  • Jefferson City, TN
  • NPI 1952560625
  NPD
• Summit Medical Group PLLC

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group,PLLC

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1861585275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COSBY HWY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213414",
            "telephone_number": "423-625-7777",
            "fax_number": "423-625-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "57093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035310",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Jefferson Berry III, MD
• Davina Jeanette Bice
• Bio-Medical Applications of Tennessee, Inc.
• Rhonda Birchfield
• Lori Ann Black, PT
• Micah Bonner, MA, LADAC-II
• Heather Sunshine Bossie, APRN, FNP-C PMHNP-BC
• Karoline Bowman, LPC-MHSP
• Gregory Bradley, PHARMD.
• Kristi Dale Bradshaw, FNP

• Pediatrics Physician in Newport, TN
• Providers in Newport, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.