Individual provider Active NPI

John George Tsibu, NP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1861899304
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19436 Issued in TN
Practice address
1410 Kensington Square CT Ste 103
Murfreesboro, TN 37130-6902
Phone
(615) 900-1659
NPI assigned
Nov 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19436 TN Primary

Addresses

Primary practice location

1410 Kensington Square CT Ste 103
Murfreesboro, TN 37130-6902

Mailing address

1410 Kensington Square CT Ste 103
Murfreesboro, TN 37130-6902
Phone (615) 900-1659

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409002562 TN Practitioner - Nurse Practitioner 4981922549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1410 Kensington Square CT
Suite 103
Murfreesboro, TN 37130-6902
Phone (615) 900-1659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19436TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Braxton Medical Clinic, LLC CurrentSince Sep 15, 2020 Accepting new patients
Just Journey Wellness Clinic LLC CurrentSince Sep 3, 2023 Accepting new patients
Internal Medicine Associates LLC CurrentSince Jun 25, 2025 Accepting new patients

Locations

1410 Kensington Square Ct
Ste 103
Murfreesboro, TN 37130
Phone (615) 900-1659

121 Mayfield Dr
Smyrna, TN 37167
Phone (615) 459-4686

Interoperability endpoints

  • Direct secure messaging: john.tsibu@3697.securemail.prognocis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIEBBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1861899304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 KENSINGTON SQUARE CT STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306902",
            "telephone_number": "615-900-1659",
            "fax_number": "615-912-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 KENSINGTON SQUARE CT STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371306902",
            "telephone_number": "615-900-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIBU",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-27",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.