NPIMap

Organization Active NPI

J&J Medical PLLC

Doing business as All Care Family Practice

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1972281384
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
J&J MEDICAL PLLC
Doing business as
All Care Family Practice
Practice address
208 Prince St
Sevierville, TN 37862-3821
Phone
(865) 774-7481
Fax
(865) 908-2455
NPI assigned
Jul 6, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Jennifer Lane, FNPNPI 1467744680
Title
Owner
Phone
(865) 774-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

208 Prince St
Sevierville, TN 37862-3821

Mailing address

208 Prince St
Sevierville, TN 37862-3821
Phone (865) 774-7481

Other names 1

  • All Care Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230908002393 TN Part B Supplier - Clinic/Group Practice 5991169989 Receives reassigned benefits from 3 practitioners
Practice locations: Sevierville, TN
O20231229000806 TN Part A Provider - Rural Health Clinic 5991169989 Practice locations: Sevierville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972281384. Details of each certification follow.

Rural health clinic certification: CCN 888297

Legal name
J&J MEDICAL PLLC
Doing business as
ALL CARE FAMILY PRACTICE
Organization structure
PartnershipProprietary
Enrollment address
208 Prince St
Sevierville, TN 37862-3821

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0965512J & J Medical PLLC208 Prince Street, Sevierville, TN 37862Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
All Care Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Dania Woods Individual 5% Or Greater Direct Ownership InterestCo-Owner Jun 28, 2023 50%
General Partnership InterestCo-Owner Jun 28, 2023 50%
W-2 Managing EmployeeCo-Owner Jun 28, 2023 50%
Jennifer Lane Individual 5% Or Greater Direct Ownership InterestCo-Owner Jun 28, 2023 50%
General Partnership InterestCo-Owner Jun 28, 2023 50%
W-2 Managing EmployeeCo-Owner Jun 28, 2023 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Jennifer Lane, FNP-C
    • Family Nurse Practitioner
    • Sevierville, TN
    • NPI 1467744680

    5% Or Greater Direct Ownership Interest, General Partnership Interest, W-2 Managing Employee

    CMS ownership
  • Jennifer Dania Loveday, FNP
    • Family Nurse Practitioner
    • Sevierville, TN
    • NPI 1710201983

    5% Or Greater Direct Ownership Interest, General Partnership Interest, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1972281384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623821",
            "telephone_number": "865-774-7481",
            "fax_number": "865-908-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623821",
            "telephone_number": "865-774-7481",
            "fax_number": "865-908-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-774-7481",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Care Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.