JERRY COLEMAN II N.P
NPI 1629483607
Nurse Practitioner in Cleveland, TN
About Jerry Coleman Ii N.p NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY COLEMAN II N.P (NPI 1629483607) is an individual nurse practitioner in Cleveland, Tennessee, licensed in Tennessee (18803) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry Coleman Ii N.p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jerry Coleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, TN 37371
- Reassigned Medicare billing, Tennessee enrollment
- 105 clinicians in this Medicare group
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37311 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, TN 37311
CLEVELAND, TN 37311
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 Jerry Coleman's NPI number?
The NPI number for Jerry Coleman is 1629483607. It was assigned to this individual provider in the NPPES registry on June 27, 2014.
Where is Jerry Coleman located?
Jerry Coleman practices at 2305 Chambliss Ave NW, Cleveland, TN 37311. The listed phone number is (423) 559-6000.
What is Jerry Coleman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jerry Coleman enrolled in Medicare?
Yes. Jerry Coleman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jerry Coleman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Coleman reassigns Medicare benefits to 2 organizations: Southeastern Emergency Services P C (Athens, TN) and App Of Tennessee Ed, PLLC (Maryville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerry Coleman was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jerry Coleman II, N.P · NPI 1629483607
Nurse Practitioner physician in Cleveland, Tennessee. Individual provider, active in the CMS NPPES registry since June 27, 2014.
## Identity
- **NPI:** 1629483607 (Entity type: Individual)
- **Enumerated:** June 27, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 18803 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2305 CHAMBLISS AVE NW, Cleveland, TN 37311-3847
- **Phone:** (423) 559-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southeastern Emergency Services P C (NPI 1669414264, Athens, TN); App Of Tennessee Ed, PLLC (NPI 1003230236, Maryville, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1629483607) · Data from the CMS NPPES public registry.