MR. JESSIE LEE JR. COPELAND (M.D.) – Adolescent Medicine (Internal Medicine) Physician, NPI 1164412474

MR. JESSIE LEE JR. COPELAND (M.D.) is a healthcare provider. based in Celina, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD30843 (TN). The NPI Number for MR. JESSIE LEE JR. COPELAND (M.D.) is 1164412474

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. JESSIE LEE JR. COPELAND (M.D.)
NPI
1164412474
Phone
(931) 243-3860
Address
PO BOX 388
Enumeration Date
27 October 2005
Last Update Date
19 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9312433860
Graduation Year
1995 (31 years ago)
PAC ID
7911995428
Group Practice PAC ID
1052225760
Professional Enrollment ID
I20041005000406
Address ID
TN385515092CE110XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,527 INTERNAL MEDICINE in TN

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Provider Addresses for MR. JESSIE LEE JR. COPELAND (M.D.)

  • PO BOX 388

    CELINA, TN 385510388

    Phone: (931) 243-3860

    Fax: (931) 243-4607

    Type: Mailing

  • 110, Doctor's Drive, Celina, Clay County, Tennessee, 38551, United States

    CELINA, TN 38551

    Phone: (931) 243-3860

    Fax: (931) 243-4607

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Lilly USA, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041005000406IInternal MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes519180$0
99213Established patient office or other outpatient visit, 20-29 minutes336150$0
36415Insertion of needle into vein for collection of blood sample318167$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes23644$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes17333$0
View full utilization report →

Insurance plans in this area (ZIP 38551)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052225760View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
-TN
Family PracticeIL
Nurse PractitionerTN
General SurgeryTX
O B S T E T R I C S/ G Y N E C O L O G YIN
Internal MedicineTN

Reviews

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Frequently asked questions

How do I look up MR. JESSIE LEE JR. COPELAND (M.D.) by NPI?
Use NPI 1164412474 when you need to reference MR. JESSIE LEE JR. COPELAND (M.D.) in forms, claims, or directories.
Is MR. JESSIE LEE JR. COPELAND (M.D.)'s NPI currently valid?
The extract we use shows MR. JESSIE LEE JR. COPELAND (M.D.) as active.
What field does MR. JESSIE LEE JR. COPELAND (M.D.) work in?
You can think of MR. JESSIE LEE JR. COPELAND (M.D.) as practicing within Adolescent Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JESSIE LEE JR. COPELAND (M.D.)?
The page summarizes Celina, Tennessee for MR. JESSIE LEE JR. COPELAND (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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