JAMES DAVID CARTER NP
NPI 1316449598
Nurse Practitioner in Hendersonville, TN

Q: What is James Carter's NPI number?

The NPI number for James Carter is 1316449598. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Q: What is James Carter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for James Carter was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 05, 2018PECOS EnrolledAccepts Medicare Assignment

355 NEW SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075(615) 338-1000 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2023, Mar 15, 2018, Mar 5, 2018 (3 updates tracked since 2018).

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About James David Carter Np NPPES

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

JAMES DAVID CARTER NP (NPI 1316449598) is an individual nurse practitioner in Hendersonville, Tennessee, licensed in Tennessee (26949) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Tristar Hendersonville Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316449598

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAMES DAVID CARTERCredential: NP

Location Address355 NEW SHACKLE ISLAND RDHendersonville, TN 37075-2479

Mailing Address640 S State StDover, DE 19901-3530 · (931) 273-6516

Phone(615) 338-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 5, 2018

Last NPPES UpdateJune 2, 20233 updates tracked since enumeration

NPPES CertifiedJune 2, 2023

✔ NPI 1316449598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 26949

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

355 NEW SHACKLE ISLAND RD, Hendersonville, TN 37075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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 David Carter Np 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 ID1153683859

PECOS Enrollment IDI20200411000069

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 Reassignments

Medicare enrollment records show James Carter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tn, LLC

16 mi

Hospitalist

2300 PATTERSON ST
Nashville, TN 37203

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

NPI 1982301065 (615) 342-1001

Cardiovascular Anesthesiologists PC

18 mi

Critical Care Medicine

4230 HARDING PIKE STE 435
Nashville, TN 37205

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

NPI 1912953381 (615) 385-3704

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 4

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.

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.

199 services99 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.

196 services101 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.

117 services112 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.

60 services60 patients

Hospital Affiliations CMS Care Compare

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

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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.

Other Providers at the Same Location NPPES 20

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

MOSUNMOLA ADEBOWALE ADEMOSU MD

Hospitalist