Individual provider Active NPI

Jolanta Szczarkowska, M.D.

  • Pediatrics Physician
  • Winchester, TN
National Provider Identifier
1053363028
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD30678 Issued in TN
Practice address
155 Hospital Rd
Suite E
Winchester, TN 37398-2494
Phone
(931) 962-0672
Fax
(931) 967-7818
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD30678 TN Primary

Addresses

Primary practice location

155 Hospital Rd
Suite E
Winchester, TN 37398-2494

Mailing address

155 Hospital Rd
Suite E
Winchester, TN 37398-2494
Phone (931) 962-0672

Other identifiers 2

IdentifierTypeStateIssuer
BCBSOtherTNBCBS
3897649MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171226001712 TN Practitioner - Pediatric Medicine 6204194111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30678TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Southern Tennessee LLC CurrentSince Sep 25, 2017 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Sep 25, 2017 Accepting new patients
Amg-Southern Tennessee LLC Current Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

1383 S College St
Winchester, TN 37398
Phone (931) 926-3500

568 Hospital Rd
Winchester, TN 37398
Phone (931) 962-3199

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

155 Hospital Rd
Ste E
Winchester, TN 37398
Phone (931) 962-0672

Interoperability endpoints

  • Direct secure messaging: jolanta.szczarkowska.1@19363.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053363028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD",
            "address_2": "SUITE E",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982494",
            "telephone_number": "931-962-0672",
            "fax_number": "931-967-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD",
            "address_2": "SUITE E",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982494",
            "telephone_number": "931-962-0672",
            "fax_number": "931-967-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZARKOWSKA",
        "first_name": "JOLANTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD30678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BCBS",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3897649",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.