Individual provider Active NPI

Sharon Patton, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1174887293
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16820 Issued in TN
Practice address
1121 Trotwood Ave Ste 7
Columbia, TN 38401-1803
Phone
(931) 774-4001
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16820 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16820 TN Primary

Addresses

Primary practice location

1121 Trotwood Ave Ste 7
Columbia, TN 38401-1803

Mailing address

PO Box 188
Mount Pleasant, TN 38474-0188
Phone (931) 774-4001

Other practice location 1

1200 Winner Ave SW
Huntsville, AL 35805-4795
Phone (256) 715-7786

Other names 1

  • Sharon Spears Former name

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
I20120810000764 TN Practitioner - Nurse Practitioner 2264688910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Hatcher LN
Columbia, TN 38401-3535
Phone (931) 446-5067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16820TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simplified Peace Behavioral Wellness, LLC Psychiatric/Mental Health CurrentSince Jul 14, 2021 Accepting new patients

Locations

1149 Nashville Hwy
Lewisburg, TN 37091
Phone (931) 422-2444

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1174887293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MOUNT PLEASANT",
            "state": "TN",
            "postal_code": "384740188",
            "telephone_number": "931-774-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 TROTWOOD AVE STE 7",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384011803",
            "telephone_number": "931-774-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Winner Ave SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358054795",
            "country_code": "US",
            "telephone_number": "256-715-7786",
            "fax_number": "256-715-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "SHARON",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16820",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "16820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SPEARS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.