Individual provider Active NPI

Jeremy Ray Strader, NP

  • Nurse Practitioner
  • Seymour, TN
National Provider Identifier
1881237618
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26771 Issued in TN
Practice address
127 W Macon LN Ste 2
Seymour, TN 37865-4776
Phone
(865) 268-5009
Fax
(865) 800-4862
NPI assigned
Oct 24, 2019
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26771 TN Primary

Addresses

Primary practice location

127 W Macon LN Ste 2
Seymour, TN 37865-4776

Mailing address

127 W Macon LN Ste 2
Seymour, TN 37865-4776
Phone (865) 268-5009

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
I20191220002396 TN Practitioner - Nurse Practitioner 7416381611 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians
Volunteer Primary Care, LLCGroup PAC ID 9830579077, 2 clinicians

Practice addresses (Care Compare)

11719 Chapman Hwy 104
Seymour, TN 37865-5264
Phone (865) 377-3176

127 W Macon LN
Suite 2
Seymour, TN 37865-4776
Phone (240) 778-6164

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26771TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Oct 9, 2019 Accepting new patients
Volunteer Primary Care, LLC CurrentSince Feb 17, 2022 Accepting new patients
National Physicians PC CurrentSince Jun 2, 2020 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

1027 Waterford Pl
Kingston, TN 37763
Phone (865) 314-7125

3124 Dresser Rd
Knoxville, TN 37920
Phone (865) 314-7125

127 W Macon Ln
Ste 2
Seymour, TN 37865
Phone (865) 268-5009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26314/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeremy.strader.1@31466.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1881237618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W MACON LN STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654776",
            "telephone_number": "865-268-5009",
            "fax_number": "865-800-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W MACON LN STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654776",
            "telephone_number": "865-268-5009",
            "fax_number": "865-800-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADER",
        "first_name": "JEREMY",
        "middle_name": "RAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "26771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

Verify at the official NPI Registry.