Individual provider Active NPI

Dawn Selvage, FNP-C

  • Family Nurse Practitioner
  • Manchester, TN
National Provider Identifier
1225592744
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25430 Issued in TN
Practice address
1019 Hillsboro Blvd
Manchester, TN 37355-2029
Phone
(931) 800-4622
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25430 TN Primary

Addresses

Primary practice location

1019 Hillsboro Blvd
Manchester, TN 37355-2029

Mailing address

PO Box 480
Manchester, TN 37349-0480
Phone (931) 800-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191023003234 TN Practitioner - Family Practice 5698007672 Reassigns benefits to 2 organizations
I20210119000512 TN Practitioner - Nurse Practitioner 5698007672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manchester Care Clinic LLCGroup PAC ID 2769887108, 2 clinicians

Practice addresses (Care Compare)

920 McArthur St
Manchester, TN 37355-2326
Phone (931) 800-4622

Hospital & facility affiliations

  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R Tessier DO PC CurrentSince Sep 1, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2020 Accepting new patients
Manchester Care Clinic LLC CurrentSince Aug 17, 2021 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jan 20, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2020 Accepting new patients
Hometown Family Medical PastSince Jul 1, 2018 Accepting new patients

Locations

911 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

920 McArthur St
Manchester, TN 37355
Phone (931) 800-4622

909 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

1019 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 800-4622

931 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 259-4144

1346 Dow St
Murfreesboro, TN 37130
Phone (334) 482-3136

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

4432 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 648-8501

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1225592744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490480",
            "telephone_number": "931-800-4622",
            "fax_number": "931-952-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552029",
            "telephone_number": "931-800-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAGE",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.