JERRY COLEMAN II N.P
NPI 1629483607
Nurse Practitioner in Cleveland, TN

Q: 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.

Q: What is Jerry Coleman'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 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.

Active since June 27, 2014PECOS Enrolled

2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 559-6000 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1629483607

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJERRY COLEMAN IICredential: N.P

Location Address2305 CHAMBLISS AVE NWCleveland, TN 37311-3847

Mailing Address2305 Chambliss Ave NwCleveland, TN 37311-3847 · (423) 559-6000

Phone(423) 559-6000

Sole ProprietorNo

Enumeration DateJune 27, 2014

✔ NPI 1629483607 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 · 18803

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.

2305 CHAMBLISS AVE NW, Cleveland, TN 37311

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Coleman Ii N.p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

KEZLEY ANDERSON DPT

Physical Therapist