JAMES D CAREY APN
NPI 1053854083
Nurse Practitioner - Family in Hartsville, TN

Q: What is James Carey's NPI number?

The NPI number for James Carey is 1053854083. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Q: What is James Carey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for James Carey was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2016PECOS EnrolledAccepts Medicare Assignment

220 BROADWAY, HARTSVILLE, TN 37074(615) 374-2101(615) 374-2609 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James D Carey Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES D CAREY APN (NPI 1053854083) is an individual family provider in Hartsville, Tennessee, licensed in Tennessee (22001) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053854083

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAMES D CAREYCredential: APN

Location Address220 BROADWAYHartsville, TN 37074-1304

Mailing Address220 BroadwayHartsville, TN 37074-1304 · (615) 374-2101 · Fax (615) 374-2609

Phone(615) 374-2101

Fax(615) 374-2609

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 22, 2016

✔ NPI 1053854083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 22001

220 BROADWAY, Hartsville, TN 37074

Open in Google Maps ↗

Other Identifiers 1

Other22001State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James D Carey Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325322563

PECOS Enrollment IDI20170307000824

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Carey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carey Family Practice And Pediatrics PLLC

Same address

Family Medicine

220 BROADWAY
Hartsville, TN 37074

Reassigned Medicare billing, Tennessee enrollment
2 clinicians in this Medicare group

NPI 1033970405 (615) 374-2101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

162 services101 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

134 services93 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

104 services89 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

45 services45 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services15 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

19 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440003

Location555 Hartsville PikeGallatin, TN 37066 · Sumner County

Emergency services Birthing friendly

Trousdale Medical Center

Critical Access Hospitals · Hartsville, TN

OwnershipVoluntary non-profit - Other

CMS Certification Number441301

Location500 Church StreetHartsville, TN 37074 · Trousdale County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers42 claims73 services$4.42 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

1 supplier15 claims16 services$0.56 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers39 claims39 services$6.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$73.84 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers13 claims2,449 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers15 claims15 services$19.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAREY FAMILY PRACTICE AND PEDIATRICS PLLC

Family Medicine

220 BROADWAY
HARTSVILLE, TN 37074

Trousdale County (615) 374-2101

MR. JACK WILLARD CAREY III M.D.

Internal Medicine

220 BROADWAY
HARTSVILLE, TN 37074

Trousdale County (615) 374-2101

JACK W CAREY JR. MD

Family Medicine

220 BROADWAY
HARTSVILLE, TN 37074

Trousdale County (615) 374-2101

JAMES D CAREY

Nurse Practitioner (Family)

220 BROADWAY
HARTSVILLE, TN 37074

Trousdale County (615) 374-2101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Carey's NPI number?

The NPI number for James Carey is 1053854083. It was assigned to this individual provider in the NPPES registry on November 22, 2016.

Where is James Carey located?

James Carey practices at 220 Broadway, Hartsville, TN 37074. The listed phone number is (615) 374-2101.

What is James Carey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Carey enrolled in Medicare?

Yes. James Carey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Carey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Carey reassigns Medicare benefits to Carey Family Practice And Pediatrics PLLC (Hartsville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Carey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Carey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list James Carey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Carey affiliated with any hospitals?

According to CMS data, James Carey is affiliated with Sumner Regional Medical Center and Trousdale Medical Center.

When was this NPI record last updated?

The NPPES record for James Carey was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.