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

Sex

Male

Sole proprietor

No

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.

• Walter C Bennett DC FNP Inc

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1326486184

  Family, TN

  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

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

  Hospital

  Care Compare affiliation

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2024.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51507154",
            "state": "AL"
        }
    ],
    "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.
• Andrew Black
• Blessed Care

• All providers in Fayetteville, TN
• 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.