Jesica Marie Carter
Individual provider Active NPI Family Nurse Practitioner · Ashland City, TN
NPI 1992407134 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1992407134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 33428 (TN)
- Practice address
- 2501 River Rd
Ashland City, TN 37015-5402 - Phone
- (731) 394-1145
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ultra Health LLC
Ultra Health Providers II LLC
Practice addresses (Care Compare)
4128 Old Jackson Rd
Bells, TN 38006-4261
Phone (731) 394-1145
8044 Coley Davis Rd
Nashville, TN 37221-2310
Phone (731) 394-1145
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230406002502 | TN | Practitioner - Nurse Practitioner | 0143695064 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33428 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health Providers II LLC | Current |
Accepting new patients | |
| Ultra Health LLC | Current |
Accepting new patients |
Locations
2040 Colonial Dr
Savannah, GA 31406
Phone (912) 354-2752
111 Pemberton Dr
Ashland City, TN 37015
Phone (615) 792-9109
2501 River Rd
Ashland City, TN 37015
Phone (615) 792-1911
8044 Coley Davis Rd
Nashville, TN 37221
Phone (615) 646-4466
704 5th Ave E
Springfield, TN 37172
Phone (615) 384-7977
608 8th Ave E
Springfield, TN 37172
Phone (615) 384-8453
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 33428 | TN | Yes |
Addresses
Primary practice location
2501 River Rd
Ashland City, TN 37015-5402
Mailing address
36 Pemberton CV
Jackson, TN 38305-5514
Other practice location 1
111 Pemberton Dr
Ashland City, TN 37015-1353
Phone (731) 394-1145
Other providers in Ashland City, TN
- Daniel James Burt
- Linda Southwick Bush
- Tammy Lynn Butler
- Jana M Buttrey
- Jennifer Amy Carney
- Chadash Counseling and Coaching LLC
- Cheatham County School System
- Cheatham Dam Inpatient Services PLLC
- Christian Care Center of Cheatham County Inc
- Christian F Vissers MD PC
All providers in Ashland City, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.