Autum Marie Salsbury, FNP-C

Key facts

NPI

1104279983

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

21523 (TN)

Practice address

1825 Knoxville Hwy
Wartburg, TN 37887-4120

Phone

(423) 346-3600

Fax

(833) 908-2181

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 8

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

• Summit Medical Group, PLLC Internal Medicine Physician · Brentwood, TN · NPI 1659090298
  Medicare reassignment Care Compare group NPD TN
• Fast Pace Medical Clinic PLLC Family Medicine Physician · Spring Hill, TN · NPI 1134452865
  Medicare reassignment NPD TN
• Summit Medical Group, PLLC Internal Medicine Physician · Powell, TN · NPI 1609955970
  Care Compare group
• Fast Pace Medical Clinic PLLC Rural Health Clinic/Center · Chapel Hill, TN · NPI 1316602774
  NPD
• Summit Medical Group, PLLC Family Medicine Physician · Wartburg, TN · NPI 1124646559
  NPD
• Summit Medical Group PLLC Family Medicine Physician · Oak Ridge, TN · NPI 1437238797
  NPD (past)
• Summit Medical Group, PLLC Family Medicine Physician · Knoxville, TN · NPI 1699722470
  NPD (past)
• Summit Medical Group,PLLC Internal Medicine Physician · Cookeville, TN · NPI 1588362164
  NPD (past)

Hospital & facility affiliations 2

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

• Methodist Medical Center General Acute Care Hospital · Oak Ridge, TN · NPI 1700870672
  Care Compare affiliation Hospital
• Roane County Medical Center General Acute Care Hospital · Harriman, TN · NPI 1700036696
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group, PLLC (636 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital · Oak Ridge, TN · CCN 440034
• Roane Medical Center Hospital · Harriman, TN · CCN 440031

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: autum.salsbury.1@20785.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Autum Miles Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2022.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1104279983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 KNOXVILLE HWY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874120",
            "telephone_number": "423-346-3600",
            "fax_number": "833-908-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Brooklawn St",
            "address_purpose": "LOCATION",
            "city": "Farragut",
            "state": "TN",
            "postal_code": "379342875",
            "country_code": "US",
            "telephone_number": "865-392-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALSBURY",
        "first_name": "AUTUM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024944",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUM",
            "last_name": "MILES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wartburg, TN

• Jonna Leeann Pittman, PA-C
• Jennie Reagan, CCC-SLP
• Meagan Elizabeth Redmon, MSN, FNP-BC
• Kimberly Rinks, PMHNP
• Kayla Renea Ruppe, OTA/L
• Jonathan Schmidt
• Jeremy Allen Scott, COTA/L
• Robin Lee Seiber, REGISTERED NURSE
• Samantha Ashley Seiber, LPN
• Allison H Sexton, PHARMD

All providers in Wartburg, TN · Family Nurse Practitioner in Tennessee