Individual provider Active NPI

Courtney Michelle Millington, FNP-C

  • Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1194400788
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
34317 Issued in TN
Practice address
7424 US Highway 64 Ste 118
Bartlett, TN 38133-8937
Phone
(901) 244-6631
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 34317 TN Primary

Addresses

Primary practice location

7424 US Highway 64 Ste 118
Bartlett, TN 38133-8937

Mailing address

9922 Moose Rd
Millington, TN 38053-4976
Phone (901) 871-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516001101 TN Practitioner - Nurse Practitioner 9638697337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34317TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NG Holdings Nurse Practitioner CurrentSince May 2, 2025 Accepting new patients

Locations

7424 US Highway 64
Ste 118
Bartlett, TN 38133
Phone (901) 244-6631

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1194400788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 MOOSE RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380534976",
            "telephone_number": "901-871-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 US HIGHWAY 64 STE 118",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338937",
            "telephone_number": "901-244-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLINGTON",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.