JEROME PATRICK TINA
NPI 1467187229
Physician Assistant in Jonesborough, TN

Active since July 17, 2022PECOS EnrolledAccepts Medicare Assignment
155 JIM FORD RD, JONESBOROUGH, TN 37659(516) 967-0805 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2023, Aug 10, 2022, Jul 17, 2022 (3 updates tracked since 2022).

About Jerome Patrick Tina NPPES

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

JEROME PATRICK TINA (NPI 1467187229) is an individual physician assistant in Jonesborough, Tennessee, licensed in Tennessee (5240) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Erwin, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467187229
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEROME PATRICK TINA
Location Address155 JIM FORD RDJonesborough, TN 37659-3129
Mailing Address155 Jim Ford RdJonesborough, TN 37659-3129 · (516) 967-0805
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 17, 2022
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
NPI 1467187229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 5240
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
155 JIM FORD RD, Jonesborough, TN 37659

Secondary Practice Location 1

Location 1800 S Mohawk Dr Ste CErwin, TN 37650-2124 · Phone (423) 735-4750

Accepted 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

Jerome Patrick Tina 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 ID5092188813
PECOS Enrollment IDI20230227000797, I20250512001384
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37659 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jerome Tina's NPI number?

The NPI number for Jerome Tina is 1467187229. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Where is Jerome Tina located?

Jerome Tina practices at 155 Jim Ford Rd, Jonesborough, TN 37659. The listed phone number is (516) 967-0805.

What is Jerome Tina's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jerome Tina enrolled in Medicare?

Yes. Jerome Tina 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.

What insurance does Jerome Tina accept?

Health plans from Oscar Insurance Company list Jerome Tina 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.

When was this NPI record last updated?

The NPPES record for Jerome Tina was last updated on August 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.