Individual provider Active NPI

Greta Sue Minton

  • Nurse Practitioner
National Provider Identifier
1114928363
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000005830 Issued in TN
Practice address
2413 South Chancery Street
McMinnville, TN 37110
UM
Phone
(931) 668-2273
Fax
(931) 815-2305
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000005830 TN Primary

Addresses

Primary practice location

2413 South Chancery Street
McMinnville, TN 37110
UM

Mailing address

2413 S Chancery St
McMinnville, TN 37110-3614
Phone (931) 668-2273

Other identifiers 1

IdentifierTypeStateIssuer
3347391MedicaidTN

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
I20091216000018 TN Practitioner - Nurse Practitioner 2567502966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5830TNMDPhysical Therapy Assistant
APN000005830TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Group of McMinnville, P.C. Nurse Practitioner CurrentSince Jun 8, 2015 Accepting new patients
Saint Thomas Medical Partners CurrentSince Aug 1, 2015 Accepting new patients
Coffee Medical Group LLC Past Accepting new patients

Locations

482 Interstate Dr
Manchester, TN 37355
Phone (931) 728-4718

1589 Sparta St
Ste 305
McMinnville, TN 37110
Phone (931) 506-5031

155 Health Way
Ste 1
McMinnville, TN 37110
Phone (931) 473-5394

2413 S Chancery St
McMinnville, TN 37110
Phone (931) 668-2273

1589 Sparta St
Ste 106
McMinnville, TN 37110
Phone (931) 815-4368

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25094/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1114928363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371103614",
            "telephone_number": "931-668-2273",
            "fax_number": "931-815-2305"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "2413 SOUTH CHANCERY STREET",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "931-668-2273",
            "fax_number": "931-815-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "GRETA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN000005830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347391",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.