Jennifer P King, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001695 Issued in TN

Practice address

100 S Duncan St
Jamestown, TN 38556-3009

Phone

(931) 879-5864

Fax

(931) 879-3903

NPI assigned

Feb 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.king.1@17050.direct.athenahealth.com

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.

• Acute Care Clinics of America, LLC

  • General Practice Physician
  • Jamestown, TN
  • NPI 1780235564

  TN

  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  TN

  Medicare reassignment
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264

  TN

  Medicare reassignment
• Cumberland Occupational and Urgent Care Center LLC

  • Clinic/Center
  • Crossville, TN
  • NPI 1689858664
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1962641530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR",
            "address_2": "SUITE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552709",
            "telephone_number": "931-210-5577",
            "fax_number": "931-210-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S DUNCAN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563009",
            "telephone_number": "931-879-5864",
            "fax_number": "931-879-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Interstate Dr",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385552709",
            "country_code": "US",
            "telephone_number": "931-210-5577",
            "fax_number": "931-210-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1695",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "001695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE LICENSE",
            "identifier": "1695",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Jones, MSN, APRN, FNP-C
• Valerie D Jones, PHARM D
• Dilip N Joshi, MD
• Kayla Rose Judd, APRN
• Alyssa Keyes, CCC-SLP
• Laboratory Corporation of America Holdings
• Jeffrey C Lawhon, M.D.
• Connie S. Lee, FNP-C
• Molly Jo Dayhuff Lefever, PHARM.D.
• Elaina Ann Leffew, LPN

• Medical Physician Assistant in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.