JEREMY DUBOSE
NPI 1407793110
Nurse Practitioner - Family in Clarksville, TN
About Jeremy Dubose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY DUBOSE (NPI 1407793110) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (36501) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Jeremy Dubose 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeremy Dubose's NPI number?
The NPI number for Jeremy Dubose is 1407793110. It was assigned to this individual provider in the NPPES registry on April 30, 2026.
Where is Jeremy Dubose located?
Jeremy Dubose practices at 2660 Madison St, Clarksville, TN 37043. The listed phone number is (931) 263-0581.
What is Jeremy Dubose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeremy Dubose enrolled in Medicare?
Yes. Jeremy Dubose 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.
When was this NPI record last updated?
The NPPES record for Jeremy Dubose was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jeremy Dubose · NPI 1407793110
Family physician in Clarksville, Tennessee. Individual provider, active in the CMS NPPES registry since April 30, 2026.
## Identity
- **NPI:** 1407793110 (Entity type: Individual)
- **Enumerated:** April 30, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 36501 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2660 MADISON ST, Clarksville, TN 37043-5708
- **Phone:** (931) 263-0581
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407793110) · Data from the CMS NPPES public registry.