Active NPI
Judith Anne Tessema
- Family Medicine Physician
- Bolivar, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62446
- Practice address
- 629 Nuckolls Rd
Bolivar, TN 38008-1599 - Phone
- (731) 658-3388
- NPI assigned
- May 1, 2013
- Last updated
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A136409 | CA | |
| Family Medicine Physician | 207Q00000X | 62446 | TN | Primary |
Addresses
Primary practice location
629 Nuckolls Rd
Bolivar, TN 38008-1599
Mailing address
629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388
Other practice location 1
627 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 600-1063
Other practice location 2
445 Nuckolls Rd
Bolivar, TN 38008-1539
Phone (731) 658-2902
Other practice location 3
1132 Industrial Dr
Henderson, TN 38340-1310
Phone (731) 983-3175
Other practice location 4
17 1st St E
Stanton, TN 38069-4426
Phone (731) 548-2232
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1132 Industrial Dr
Henderson, TN 38340-1310
Phone (731) 983-3175
17 1St St E
Stanton, TN 38069-4426
Phone (731) 548-2232
627 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388
629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136409 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardeman County Community Health Center | Current | Accepting new patients | |
| Hardeman County Community Health Center | Current | Accepting new patients |
Locations
629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388
1132 Industrial Dr
Henderson, TN 38340
Phone (731) 983-3175
Interoperability endpoints
- jtessema55957@westdirect.optum.com
- judith.tessema.1@27086.direct.athenahealth.com
- judith.tessema.p1@direct.hcchc.nextgenshare.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.
-
- Federally Qualified Health Center (FQHC)
- Bolivar, TN
- NPI 1861468340
-
dba HCCHC Women & Children's Center
- Federally Qualified Health Center (FQHC)
- Bolivar, TN
- NPI 1942049135
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Tennessee Healthcare Bolivar Hospital
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1083059265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 NUCKOLLS RD",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081599",
"telephone_number": "731-658-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 NUCKOLLS RD",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081599",
"telephone_number": "731-658-3388"
}
],
"practiceLocations": [
{
"address_1": "627 Nuckolls Rd",
"address_purpose": "LOCATION",
"city": "Bolivar",
"state": "TN",
"postal_code": "38008",
"country_code": "US",
"telephone_number": "731-600-1063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 Nuckolls Rd",
"address_purpose": "LOCATION",
"city": "Bolivar",
"state": "TN",
"postal_code": "380081539",
"country_code": "US",
"telephone_number": "731-658-2902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1132 Industrial Dr",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "TN",
"postal_code": "383401310",
"country_code": "US",
"telephone_number": "731-983-3175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 1st St E",
"address_purpose": "LOCATION",
"city": "Stanton",
"state": "TN",
"postal_code": "380694426",
"country_code": "US",
"telephone_number": "731-548-2232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESSEMA",
"first_name": "JUDITH",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A136409",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "62446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.