Individual provider Active NPI

Jessica Haynes Crowder, MD

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1942797907
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63038 Issued in TN
Practice address
2723 New Salem Hwy
Murfreesboro, TN 37128-5253
Phone
(615) 396-6850
Fax
(615) 396-6855
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 63038 TN Primary

Addresses

Primary practice location

2723 New Salem Hwy
Murfreesboro, TN 37128-5253

Mailing address

2723 New Salem Hwy
Murfreesboro, TN 37128-5253

Other names 1

  • Jessica Haynes Former name

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
I20210506002155 TN Practitioner - Family Practice 3678818036 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Family Medicine CurrentSince Jun 28, 2021 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jun 28, 2021 Accepting new patients

Locations

1020 N Highland Ave
Ste C
Murfreesboro, TN 37130
Phone (615) 396-6454

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 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1942797907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 NEW SALEM HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 NEW SALEM HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285253",
            "telephone_number": "615-396-6850",
            "fax_number": "615-396-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "JESSICA",
        "middle_name": "HAYNES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "63038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAYNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.