Tammy Javellana, F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN10445 Issued in TN

Practice address

1505 Woodlawn Ave Ste a
Dyersburg, TN 38024-3134

Phone

(731) 478-6064

Fax

(731) 478-6067

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dyersburg Family Walk-in ClinicGroup PAC ID 5991793879, 24 clinicians

Phoenix Health and WellnessGroup PAC ID 7012365901, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dyersburg Family Walk-in Clinic LLC

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780
  Medicare reassignment Care Compare group NPD
• Phoenix Health and Wellness

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1740068162

  Family

  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Pauker Inpatient Services

  • Internal Medicine Physician
  • Union City, TN
  • NPI 1902818388
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation
• Dyersburg Health

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1013112077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243134",
            "telephone_number": "731-478-6064",
            "fax_number": "731-285-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243134",
            "telephone_number": "731-478-6064",
            "fax_number": "731-478-6067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 Saint John Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242209",
            "country_code": "US",
            "telephone_number": "731-285-6110 x103",
            "fax_number": "731-285-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVELLANA",
        "first_name": "TAMMY",
        "credential": "F.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN10445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515958",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013112077",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christi L Jacobi, PHARMD
• Angeli Jain, MD
• James and Wilks Pharmacy LLC
• Mart W James, DPH
• Zachry Jarrell, DPT
• Jeremy Wayne Gatlin
• Pagela Jobe
• John Mark Bowers
• Mary R. Johnson, RN
• Tony Johnson

• Family Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.