Individual provider Active NPI

Samantha A Whitwell, FNP-BC

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1073805529
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15808 Issued in TN
Practice address
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone
(931) 762-7232
NPI assigned
May 3, 2011
Last updated
May 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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 15808 TN Primary

Addresses

Primary practice location

129 N Locust Ave
Lawrenceburg, TN 38464-3757

Mailing address

110 N High St
Mt Pleasant, TN 38474-1137
Phone (931) 215-1058

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
I20110829000172 TN Practitioner - Nurse Practitioner 5193995280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 30, 2012 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 30, 2012 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 20, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 20, 2025 Accepting new patients
Rapidcare LLC PastSince Sep 19, 2012 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

543 E Main St
Hohenwald, TN 38462
Phone (931) 295-3547

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

129 N Locust Ave
#A
Lawrenceburg, TN 38464
Phone (931) 242-4385

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 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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1073805529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N HIGH ST",
            "city": "MT PLEASANT",
            "state": "TN",
            "postal_code": "384741137",
            "telephone_number": "931-215-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643757",
            "telephone_number": "931-762-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWELL",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.