Madalyn Guymon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

35723 Issued in TN

Practice address

511 E Main St
Brownsville, TN 38012-4113

Phone

(731) 734-2023

Fax

(877) 753-3133

NPI assigned

Feb 14, 2024

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Family Medical Clinic LLCGroup PAC ID 6800131210, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGEBD/Endpoint/EIGEBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Family Medical Clinic, LLC

  • Family Nurse Practitioner
  • Brownsville, TN
  • NPI 1003302951
  Medicare reassignment Care Compare group NPD

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

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1275398794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E MAIN ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380124113",
            "telephone_number": "731-734-2023",
            "fax_number": "877-753-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E MAIN ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380124113",
            "telephone_number": "731-734-2023",
            "fax_number": "877-753-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYMON",
        "first_name": "MADALYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35723",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "246009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Bryant Goolsby, DO
• Jakeisha Taylor Goston, FNP, PMHNP
• Elizabeth Graves, APN
• Greenfield Pharms, LLC (Hometown Drug Company)
• Dan Guinn V
• Patricia P Hafford, RN
• Allison Harber, PTA
• Shenetric S Harris
• Andrea Lee Hay, NP-C
• Haywood After-Hours Clinic

• Family Nurse Practitioner in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.