Individual provider Active NPI

Ginger L Withers, FNP

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1063452365
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN5618 Issued in TN
Practice address
231 S Fairmont Ave
Morristown, TN 37813-2036
Phone
(423) 587-3480
Fax
(423) 586-7281
NPI assigned
Jun 7, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN53508 TN
Family Nurse Practitioner 363LF0000X APN5618 TN Primary

Addresses

Primary practice location

231 S Fairmont Ave
Morristown, TN 37813-2036

Mailing address

231 S Fairmont Ave
Morristown, TN 37813-2036
Phone (423) 587-3480

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
I20070919000954 TN Practitioner - Nurse Practitioner 2062506124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Center for Orthopaedic Excellence PLLCGroup PAC ID 3870713910, 7 clinicians

Practice addresses (Care Compare)

2263 Sandstone Dr
Morristown, TN 37814-2593
Phone (423) 353-1070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN5618TNMDFamily Nurse Practitioner
RN53508TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Center for Orthopaedic Excellence PLLC CurrentSince Nov 2, 2014 Accepting new patients
Mountain Valley RX 05 Inc Past Accepting new patients
Ultacare Medical PLLC Past Accepting new patients
East Tennessee Clinic Corp Past Accepting new patients
A&W Emg Muscle & Nerve PLLC PastSince Mar 15, 2022 Accepting new patients

Locations

2263 Sandstone Dr
Morristown, TN 37814
Phone (423) 353-1070

2815 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-3939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26086/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1063452365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132036",
            "telephone_number": "423-587-3480",
            "fax_number": "423-586-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132036",
            "telephone_number": "423-587-3480",
            "fax_number": "423-586-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "GINGER",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN53508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.