RONALD MACK HARMON
NPI 1215403712
Nurse Practitioner - Family in Jackson, TN

Q: What is Ronald Harmon's NPI number?

The NPI number for Ronald Harmon is 1215403712. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Q: What is Ronald Harmon'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 Ronald Harmon was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment

15 STONEBRIDGE BLVD, JACKSON, TN 38305(731) 265-6946(731) 265-6947 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2025, Apr 19, 2021, Oct 23, 2018 (3 updates tracked since 2018).

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About Ronald Mack Harmon NPPES

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

RONALD MACK HARMON (NPI 1215403712) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (25062) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215403712

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRONALD MACK HARMON

Location Address15 STONEBRIDGE BLVDJackson, TN 38305-2042

Mailing Address8132 Cordova RdCordova, TN 38016-6005 · (901) 405-6470 · Fax (901) 747-2338

Phone(731) 265-6946

Fax(731) 265-6947

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 23, 2018

Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1215403712 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 · 25062

15 STONEBRIDGE BLVD, Jackson, TN 38305

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Secondary Practice Locations 4

Location 11004 Greystone SqJackson, TN 38305-3580 · Phone (731) 664-1773

Location 245 Hurt StTrezevant, TN 38258-2505 · Phone (731) 207-0323 · Fax (731) 240-8065

Location 31022 Greystone SqJackson, TN 38305-3580 · Phone (731) 300-2001 · Fax (731) 240-8095

Location 4146 Timber Creek Dr Ste 200Cordova, TN 38018-4474 · Phone (901) 751-4112

Other Identifiers 1

MedicaidQ047667TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronald Mack Harmon 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 ID9931440021

PECOS Enrollment IDI20190418002039

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.

Areas of Expertise CMS Part B claims 9

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.

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

453 services115 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

441 services113 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.

390 services82 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480

A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.

229 services116 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

213 services115 patients

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.

138 services63 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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.

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Other Providers at the Same Location NPPES 9

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

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