Individual provider Active NPI

David Brian Hughes, RN GNP-BC

  • Gerontology Nurse Practitioner
  • Dyersburg, TN
National Provider Identifier
1144490467
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
13215 Issued in TN
Practice address
804 Scotsman Trce
Dyersburg, TN 38024-2910
Phone
(731) 571-8808
Fax
(731) 214-1816
NPI assigned
Mar 3, 2008
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 13215 TN Primary

Addresses

Primary practice location

804 Scotsman Trce
Dyersburg, TN 38024-2910

Mailing address

804 Scotsman Trce
Dyersburg, TN 38024-2910
Phone (731) 571-8088

Other practice location 1

119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998
Phone (423) 282-1480

Other identifiers 1

IdentifierTypeStateIssuer
3341650MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080404000722 TN Practitioner - Nurse Practitioner 8628155348 Reassigns benefits to 5 organizations
I20161020001269 KY Practitioner - Nurse Practitioner 8628155348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Oct 14, 2024 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Dec 1, 2020 Accepting new patients
Executive Level Wellness Current Accepting new patients
Geriatric Essentials, PC Past Accepting new patients
BH Services Southeast 1 PC Past Accepting new patients
Matrix Wellness Solutions Gerontology PastSince Mar 9, 2012 Accepting new patients

Locations

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

18700 US Highway 90
Robertsdale, AL 36567
Phone (251) 494-7191

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200

111 Chase St
#H
Byhalia, MS 38611
Phone (626) 838-3670

2782 Star Landing Rd E
Southaven, MS 38672
Phone (662) 291-7651

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1144490467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTSMAN TRCE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242910",
            "telephone_number": "731-571-8088",
            "fax_number": "731-214-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SCOTSMAN TRCE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242910",
            "telephone_number": "731-571-8808",
            "fax_number": "731-214-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Boone Ridge Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376154998",
            "country_code": "US",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "RN GNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "13215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341650",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.