Individual provider Active NPI

Tammie Sue Holcomb, DNP, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Camden, TN
National Provider Identifier
1114369998
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
17923 Issued in TN
Practice address
190 W Main St
Camden, TN 38320-1609
Phone
(731) 213-2662
Fax
(731) 213-2539
NPI assigned
Jul 22, 2013
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 17923 TN
Gerontology Nurse Practitioner 363LG0600X 17923 TN Primary

Addresses

Primary practice location

190 W Main St
Camden, TN 38320-1609

Mailing address

190 W Main St
Camden, TN 38320-1609
Phone (731) 213-2662

Other practice location 1

239 Hospital Cir
Paris, TN 38242-4550
Phone (731) 394-1145

Other identifiers 1

IdentifierTypeStateIssuer
17923OtherTNADVANCED PRACTICE NURSING LICENSE

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
I20131107001536 TN Practitioner - Nurse Practitioner 6608001102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

4128 Old Jackson Rd
Bells, TN 38006-4261
Phone (731) 394-1145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center CurrentSince Sep 1, 2013 Accepting new patients
DC Medical Services Inc CurrentSince Apr 1, 2024 Accepting new patients
Henry County Medical Center CurrentSince Sep 1, 2013 Accepting new patients
Ultra Health LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

190 W Main St
Camden, TN 38320
Phone (731) 213-2662

1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271

239 Hospital Cir
Ste 57
Paris, TN 38242
Phone (731) 644-8479

300 Hospital Cir
Ste 204
Paris, TN 38242
Phone (731) 641-2707

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

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.

Hospital & facility affiliations 3

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1114369998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201609",
            "telephone_number": "731-213-2662",
            "fax_number": "731-213-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W MAIN ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201609",
            "telephone_number": "731-213-2662",
            "fax_number": "731-213-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hospital Cir",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424550",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "TAMMIE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "17923",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "17923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSING LICENSE",
            "identifier": "17923",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, TN

Sources for this page

Verify at the official NPI Registry.