Individual provider Active NPI

Charity Stanley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Powell, TN
National Provider Identifier
1205655362
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
37162 Issued in TN
Practice address
7804 Stanley Rd Lot 82
Powell, TN 37849-4159
Phone
(865) 591-5756
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 37162 TN Primary

Addresses

Primary practice location

7804 Stanley Rd Lot 82
Powell, TN 37849-4159

Mailing address

7804 Stanley Rd Lot 82
Powell, TN 37849-4159
Phone (865) 591-5756

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
I20250401000750 TN Practitioner - Nurse Practitioner 3173046091 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

122 Cavette Hill LN
Knoxville, TN 37934-6674
Phone (865) 777-9000

204 Industrial Park LN
Rocky Top, TN 37769-2301
Phone (865) 426-2147

210 Industrial Park LN
Rocky Top, TN 37769-2301
Phone (865) 630-9200

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC Psychiatric/Mental Health CurrentSince Feb 24, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Feb 24, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Feb 24, 2025 Accepting new patients
Southeastern Physician Services PC CurrentSince Feb 24, 2025 Accepting new patients
BH Services Southeast 1 PC CurrentSince Jun 30, 2025 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 5

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1205655362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 STANLEY RD LOT 82",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494159",
            "telephone_number": "865-591-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 STANLEY RD LOT 82",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494159",
            "telephone_number": "865-591-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CHARITY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "37162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.