Individual provider Active NPI

Tammi L Ferguson, FNP

  • Family Nurse Practitioner
  • Bolivar, TN
National Provider Identifier
1023066057
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN6811 Issued in TN
Practice address
1700 W Market St
Suite J
Bolivar, TN 38008-1653
Phone
(731) 652-5772
Fax
(731) 658-1981
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN6811 TN Primary

Addresses

Primary practice location

1700 W Market St
Suite J
Bolivar, TN 38008-1653

Mailing address

116 W Main St
Henderson, TN 38340-2231
Phone (731) 989-0001

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040322001584 TN Practitioner - Nurse Practitioner 8325939135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frix-Jennings Clinic PCGroup PAC ID 7618934449, 5 clinicians

Practice addresses (Care Compare)

116 W Main St
Henderson, TN 38340-2231
Phone (731) 989-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN6811TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frix-Jennings Clinic PC CurrentSince Jul 12, 2010 Accepting new patients
Hatchie Clinic P C Past Accepting new patients

Locations

1700 W Market St
Ste J
Bolivar, TN 38008
Phone (731) 652-5772

116 W Main St
Henderson, TN 38340
Phone (731) 929-0001

Interoperability endpoints

  • Direct secure messaging: tammi.ferguson.1@29749.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1023066057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402231",
            "telephone_number": "731-989-0001",
            "fax_number": "731-989-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W MARKET ST",
            "address_2": "SUITE J",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081653",
            "telephone_number": "731-652-5772",
            "fax_number": "731-658-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TAMMI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.