Heritage Medical Care

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HERITAGE MEDICAL CARE

Practice address

521 Ben Lomand Dr Ste B
Sparta, TN 38583-1592

Phone

(931) 265-4292

NPI assigned

Aug 12, 2026

Organization subpart

No

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

Authorized official

Name

Kimberly Dawn Wagner, FNP-BCNPI 1861266017

Title

Owner

Phone

(931) 265-4292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Dawn Wagner, FNP-BC

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1861266017
  NPD (past) Authorized official

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1184549693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BEN LOMAND DR STE B",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831592",
            "telephone_number": "931-265-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEN LOMAND DR STE B",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831592",
            "telephone_number": "931-265-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-265-4292",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Dolorann Lee Hampton
• Christi Michelle Hassler, MA, LPC-MHSP
• Waymon Haston, DDS
• Cameron Wayne Heady, PA-C
• James Joseph Henning II, PHARMD
• Lyndsay Herron, PMHNP
• Miranda Nicole Hinds, RBT
• Harlen Duane Hobbs II, DDS
• Abbie Howell, RPH
• Katina England Huff, PA-C

• Primary Care Nurse Practitioner in Sparta, TN
• Providers in Sparta, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.