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MR. JACK WILLARD CAREY III M.D.
NPI 1265657951
Internal Medicine in Hartsville, TN

Active since April 16, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 44D0307050 · Microscopy
220 BROADWAY, HARTSVILLE, TN 37074(615) 374-2101 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Feb 20, 2025, Aug 28, 2019 and 2 more (5 updates tracked since 2017).

About Mr. Jack Willard Carey Iii M.d. NPPES

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

MR. JACK WILLARD CAREY III M.D. (NPI 1265657951) is an individual internal medicine provider in Hartsville, Tennessee, licensed in Tennessee (45627) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Cookeville Regional Medical Center.

NPPES Registry Identity

NPI1265657951
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JACK WILLARD CAREY IIICredential: M.D.
Location Address220 BROADWAYHartsville, TN 37074-1304
Mailing Address220 BroadwayHartsville, TN 37074-1304 · (615) 374-2101
Phone(615) 374-2101
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2007
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 12, 20255 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1265657951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 45627
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 45627 (TN)
Also ListedHospitalistTaxonomy 208M00000X · License 45627 (TN)
220 BROADWAY, Hartsville, TN 37074
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Secondary Practice Location 1

Location 11 Medical Center BlvdCookeville, TN 38501-4294 · Phone (931) 783-2770 · Fax (931) 525-1176

Other Identifiers 3

Medicaid7100177760KY
Medicaid1523209TN
Other4352344TN · Bcbs

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

Mr. Jack Willard Carey Iii M.d. 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 ID9133307440
PECOS Enrollment IDI20110708000312
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0307050

Jack W Carey Jr MD · Hartsville, TN
Active · expires Aug 31, 2026
CLIA Number44D0307050
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJack W. Carey MD
Laboratory Phone(615) 374-2101
Laboratory LocationJack W Carey Jr MD220 Broadway, Hartsville, TN 37074
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
351 services151 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440187
Location315 Oak St Box 550Livingston, TN 38570 · Overton County
Emergency services Birthing friendly

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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers36 claims36 services$17.41 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
5 suppliers36 claims36 services$101.92 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
JAMES D CAREY APN
Nurse Practitioner (Family)
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 Jack Carey's NPI number?

The NPI number for Jack Carey is 1265657951. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jack Carey located?

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

What is Jack Carey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Carey enrolled in Medicare?

Yes. Jack 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.

Does Jack Carey hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0307050) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jack Carey affiliated with any hospitals?

According to CMS data, Jack Carey is affiliated with Cookeville Regional Medical Center and Livingston Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jack Carey was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.