Individual provider Active NPI

Deanna Williamson, FNP-C

  • Family Nurse Practitioner
  • Limestone, TN
National Provider Identifier
1255142113
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11230172 Issued in TN
Practice address
8604 Old Stage Rd
Limestone, TN 37681-5306
Phone
(828) 788-0083
NPI assigned
Jan 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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 F11230172 TN Primary

Addresses

Primary practice location

8604 Old Stage Rd
Limestone, TN 37681-5306

Mailing address

8604 Old Stage Rd
Limestone, TN 37681-5306
Phone (828) 788-0083

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
I20260218000015 TN Practitioner - Nurse Practitioner 6608356647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 Bob Clark Rd
Jonesborough, TN 37659-4623

318 Tusculum Blvd
Greeneville, TN 37745-3994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11230172TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
King'S Way Family Medicine, LLC CurrentSince Dec 24, 2025 Accepting new patients

Locations

318 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 639-7700

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": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1255142113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 OLD STAGE RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376815306",
            "telephone_number": "828-788-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 OLD STAGE RD",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "376815306",
            "telephone_number": "828-788-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "DEANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F11230172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limestone, TN

Sources for this page

Verify at the official NPI Registry.