Tad Duane Ward, FNP
Individual provider Active NPI Family Nurse Practitioner · Scotts Hill, TN
NPI 1275168080 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1275168080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 27178 (TN)
- Practice address
- 644 Highway 114 S
Scotts Hill, TN 38374-5023 - Phone
- (731) 549-1000
- Fax
- (731) 549-1011
- NPI assigned
- Mar 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scotts Hill Medical Clinic, Inc
Practice addresses (Care Compare)
644 Hwy 114 S
Scotts Hill, TN 38374-5023
Phone (731) 549-1001
Hospital & facility affiliations
- Volunteer Homecare of West TN
- Hardin Medical Center
- Jackson-Madison County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210315002172 | TN | Practitioner - Nurse Practitioner | 1456767599 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotts Hill Medical Clinic, Inc | Current |
Accepting new patients | |
| Lexington Hospital Corporation | Past |
Accepting new patients |
Locations
644 Highway 114 S
Scotts Hill, TN 38374
Phone (731) 549-1000
Interoperability endpoints
- tad.ward.1@26260.direct.athenahealth.com
- https://api.platform.athenahealth.com/26260/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27178 | TN | Yes |
Addresses
Primary practice location
644 Highway 114 S
Scotts Hill, TN 38374-5023
Mailing address
P O Box 187
644 Highway 114 S
Scotts Hill, TN 38374-5023
Phone (731) 549-1000
Other providers in Scotts Hill, TN
- Premier Family Care Inc.
- Scotts Hill Discount Drugs,LLC
- Scotts Hill Medical Clinic, Inc
- Linda S Siegl
- The Grove Primary Care Clinic LLC
- Amber Nicole Wyatt
All providers in Scotts Hill, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.