Individual provider Active NPI

Tommy Lee Sawyer, FNP-BC

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1134867351
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31795 Issued in TN
Practice address
2289 Rudolphtown Rd Ste B
Clarksville, TN 37043-2231
Phone
(931) 552-3031
Fax
(931) 552-9820
NPI assigned
May 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 230069 TN
Pharmacy Technician 183700000X 57733 TN
Family Nurse Practitioner 363LF0000X 31795 TN Primary

Addresses

Primary practice location

2289 Rudolphtown Rd Ste B
Clarksville, TN 37043-2231

Mailing address

2289 Rudolphtown Rd Ste B
Clarksville, TN 37043-2231
Phone (931) 552-3031

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
I20220721001990 TN Order and Referring Only - Nurse Practitioner 7113307273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230069TNMDRegistered Nurse
31795TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a. White, M.D., P.C. CurrentSince May 29, 2022 Accepting new patients

Locations

2289 Rudolphtown Rd
Ste B
Clarksville, TN 37043
Phone (931) 552-3031

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFHAA/Endpoint/IEFHAA

Organizations & group practices 1

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1134867351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 RUDOLPHTOWN RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432231",
            "telephone_number": "931-552-3031",
            "fax_number": "931-552-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 RUDOLPHTOWN RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432231",
            "telephone_number": "931-552-3031",
            "fax_number": "931-552-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "TOMMY",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "230069",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TN",
            "license": "57733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.