Individual provider Active NPI

Jamira Niambi Duffy, M.D.

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1962614552
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000042560 Issued in TN
Practice address
726 S Church St
Murfreesboro, TN 37130-4926
Phone
(615) 893-7786
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD429534 PA
Family Medicine Physician 207Q00000X MD0000042560 TN Primary

Addresses

Primary practice location

726 S Church St
Murfreesboro, TN 37130-4926

Mailing address

807 Indian Park Drive
Murfreesboro, TN 37128
Phone (610) 247-6174

Other identifiers 1

IdentifierTypeStateIssuer
1512971MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150813011516 FL Practitioner - Family Practice 5799872859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Univ of Pittsburgh School of Dental Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 NE 3Rd Ave
Delray Beach, FL 33444-3800
Phone (561) 819-0412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000042560TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxygen Rescue Care Centers of America, LLC CurrentSince Oct 23, 2017 Accepting new patients
Conon Medical PastSince Feb 1, 2022 Accepting new patients
Tullahoma Immediate Care PC Family Medicine Past Accepting new patients

Locations

525 NE 3rd Ave
Ste 107
Delray Beach, FL 33444
Phone (561) 276-9643

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1962614552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 INDIAN PARK DRIVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37128",
            "telephone_number": "610-247-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304926",
            "telephone_number": "615-893-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "JAMIRA",
        "middle_name": "NIAMBI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD429534",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000042560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512971",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.