Faithpoint Wellness Clinic

Organization Active NPI Family Nurse Practitioner · Counce, TN

NPI 1194514166 · NPPES record last updated Oct 30, 2025

Key facts

NPI
1194514166
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
FAITHPOINT WELLNESS CLINIC
Practice address
9195 Highway 57
Counce, TN 38326-3751
Phone
(731) 925-1778
Fax
(731) 438-3168
NPI assigned
May 5, 2025
Organization subpart
No

Authorized official

Name
Amy B Mitchell, NP
Title
Owner
Phone
(731) 925-1778

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250620002258 TN Part B Supplier - Clinic/Group Practice 0244742724 Receives reassigned benefits from 1 practitioner
Practice locations: Counce, TN

National Provider Directory

Locations

9195 Highway 57
Counce, TN 38326
Phone (731) 925-1778

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X Yes
Gerontology Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LG0600X

Addresses

Primary practice location

9195 Highway 57
Counce, TN 38326-3751

Mailing address

9195 Highway 57
Counce, TN 38326-3751
Phone (731) 925-1778

Other providers in Counce, TN

All providers in Counce, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.