NPIMap

Individual provider Active NPI

Dale Wayne Norris, M.D.

  • General Practice Physician
  • Jamestown, TN
National Provider Identifier
1174558456
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD16620 Issued in TN
Practice address
101 S Duncan St Ste C
Jamestown, TN 38556-3007
Phone
(931) 879-5864
Fax
(931) 879-0796
NPI assigned
Jul 12, 2006
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD16620 TN Primary

Addresses

Primary practice location

101 S Duncan St Ste C
Jamestown, TN 38556-3007

Mailing address

PO Box 2801
Crossville, TN 38557-2801
Phone (931) 879-5864

Other practice location 1

5475 Poplar Ave
Ste.106
Memphis, TN 38119-3730
Phone (901) 254-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001392 TN Practitioner - Emergency MedicinePractitioner - Family Practice 1456335157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18797 Alberta St
Oneida, TN 37841-2127
Phone 42356985215307

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD16620TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Community Hospital, Inc. CurrentSince Jun 19, 2025 Accepting new patients
Harper Medical Group, PC CurrentSince Jul 7, 2014 Accepting new patients
Honeycomb Medical Group PLC CurrentSince Oct 1, 2024 Accepting new patients
Cumberland River Medical Clinic, LLC CurrentSince Jul 22, 2025 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Past Accepting new patients
Memphis Urgent Care #2, LLC. General Practice PastSince Feb 14, 2021 Accepting new patients
Scott County Community Hospital, Inc. Past Accepting new patients

Locations

5475 Poplar Ave
Ste 106
Memphis, TN 38119
Phone (901) 254-8040

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1174558456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2801",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385572801",
            "telephone_number": "931-879-5864",
            "fax_number": "931-879-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DUNCAN ST STE C",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563007",
            "telephone_number": "931-879-5864",
            "fax_number": "931-879-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5475 Poplar Ave",
            "address_2": "Ste.106",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193730",
            "country_code": "US",
            "telephone_number": "901-254-8040",
            "fax_number": "901-435-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "DALE",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD16620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

Verify at the official NPI Registry.