Individual provider Active NPI

Melissa Kay Pennington, FNP-C

  • Nurse Practitioner
  • Lynnville, TN
National Provider Identifier
1124978101
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
41040 Issued in TN
Practice address
181 Mill St
Lynnville, TN 38472-3112
Phone
(931) 347-4971
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 41040 TN Primary
Registered Nurse 163W00000X 192456 TN

Addresses

Primary practice location

181 Mill St
Lynnville, TN 38472-3112

Mailing address

486 Countryside Dr
Loretto, TN 38469-2573
Phone (931) 242-5169

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
I20260305002851 TN Practitioner - Nurse Practitioner 5597062448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
192456TNMDRegistered Nurse
41040TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Hillside LLC CurrentSince Apr 1, 2026 Accepting new patients
Amg-Hillside LLC Nurse Practitioner CurrentSince Apr 1, 2026 Accepting new patients
Wellness Walk-in Clinic, LLC Current Accepting new patients

Locations

181 Mill St
Lynnville, TN 38472
Phone (931) 347-4971

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Hillside LLC 25 clinicians

Practice addresses (Care Compare)

181 Mill St
Lynnville, TN 38472-3138
Phone (931) 766-7500

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1124978101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 COUNTRYSIDE DR",
            "city": "LORETTO",
            "state": "TN",
            "postal_code": "384692573",
            "telephone_number": "931-242-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MILL ST",
            "city": "LYNNVILLE",
            "state": "TN",
            "postal_code": "384723112",
            "telephone_number": "931-347-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "41040",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "192456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnville, TN

Sources for this page

Verify at the official NPI Registry.