The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-30

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location September 30, 2026

Registered at 309 SOUTHSHORE DR, GREENBACK, TN 377422301 (Tel: 8658515764)

📍

Updated Business Mailing Address September 30, 2026

Registered at 309 SOUTHSHORE DR, GREENBACK, TN 377422301 (Tel: 8653409935)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Non-emergency Medical Transport (VAN)

✅

NPI Profile Active August 05, 2025

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 05, 2025

Registered at 1605 CENTENNIAL PARK BLVD APT 331, ALCOA, TN 377014021 (Tel: 8653409935)

📍

Business Mailing Address (Initial Record) August 05, 2025

Registered at 1605 CENTENNIAL PARK BLVD APT 331, ALCOA, TN 377014021 (Tel: 8653409935)

👤

Provider Name / Credentials (Initial Record) August 05, 2025

Recorded as JODY HARRIS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Private Vehicle (license number reported to NPPES: TN 075638833)

🟢

Initial NPI Registration & Enumeration August 05, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114801792

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2025

Last Update: September 30, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

309 Southshore Dr

Greenback, TN 377422301

Phone: 8653409935

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.