Walter Charles Bennett Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16762 Issued in TN

Practice address

2310 Thornton Taylor Pkwy Ste C
Fayetteville, TN 37334-3668

Phone

(931) 251-3009

NPI assigned

Jan 31, 2007

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, NY2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Walter C Bennett DC FNP Inc

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1326486184
  Medicare reassignment NPD Authorized official
• Walter Bennett, NP in Family Health, PLLC

  • Family Medicine Physician
  • Hicksville, NY
  • NPI 1942022694
  NPD Authorized official
• Bethesda Health Center, Inc

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1902185887
  NPD
• Murfreesboro Family Chiropractic and Rehabilitation, PLLC

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1336533355
  NPD (past)

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

• HH Health System - Lincoln Inc

  dba Lincoln Medical Center

  • Rural Acute Care Hospital
  • Fayetteville, TN
  • NPI 1255066460
  Care Compare affiliation

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1164569703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310C THORNTON TAYLOR PKWY STE 102",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343630",
            "telephone_number": "931-251-3009",
            "fax_number": "256-774-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 THORNTON TAYLOR PKWY STE C",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343668",
            "telephone_number": "931-251-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Jerusalem Ave Apt A",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014958",
            "country_code": "US",
            "telephone_number": "516-935-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "WALTER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16762",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Wayne Barnes, MD
• Paige Barnes, PHARMD
• Natalie Batchelor, CRNP
• Beauty Vibes Studios
• Lana Sharon Beavers, M.D.
• Andrea Teal Bergman, FNP-C
• Tom Spain Bigham III, DDS
• Bio-Medical Applications of Tennessee, Inc. (Fresenius Medical Care Elk River)
• Andrew Black
• Blessed Care

• Family Nurse Practitioner in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.