Elijah Carpenter, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

42279 Issued in TN

Practice address

205A Hospital Dr
MC Kenzie, TN 38201-2024

Phone

(731) 352-7907

Fax

(833) 690-3848

NPI assigned

Jun 19, 2026

Last updated

Jun 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1275469157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205A HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012024",
            "telephone_number": "731-352-7907",
            "fax_number": "833-690-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382012024",
            "telephone_number": "731-352-7907",
            "fax_number": "833-690-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1731 S Meridian St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "TN",
            "postal_code": "382301827",
            "country_code": "US",
            "telephone_number": "731-678-0055",
            "fax_number": "731-678-0059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 N Cedar St",
            "address_purpose": "LOCATION",
            "city": "Gleason",
            "state": "TN",
            "postal_code": "382297264",
            "country_code": "US",
            "telephone_number": "731-648-5634",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Highway 641 N",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "TN",
            "postal_code": "383203012",
            "country_code": "US",
            "telephone_number": "731-213-2344",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30810 Broad St",
            "address_purpose": "LOCATION",
            "city": "Bruceton",
            "state": "TN",
            "postal_code": "383172028",
            "country_code": "US",
            "telephone_number": "731-586-4800",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205C Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382012037",
            "country_code": "US",
            "telephone_number": "731-207-8560",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1894 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382012206",
            "country_code": "US",
            "telephone_number": "731-207-6496",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 US Highway 45 Byp S",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "TN",
            "postal_code": "383822940",
            "country_code": "US",
            "telephone_number": "731-393-7120",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205A Court Sq",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383443710",
            "country_code": "US",
            "telephone_number": "731-535-5765",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Morrow St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Dresden",
            "state": "TN",
            "postal_code": "382251847",
            "country_code": "US",
            "telephone_number": "731-364-4900",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Wildcat Ln",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382012020",
            "country_code": "US",
            "telephone_number": "731-352-4027",
            "fax_number": "833-690-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ELIJAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Burkett
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• Kenneth T Butler, LAT, ATC
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• CCC Medical Equipment, Inc.
• Briana Page Chandler, FNP-C
• Philemon D Chang, M.D.
• Alice Chapman, R.D. L.D.N.
• Christian Care Center of McKenzie LLC

• Family Nurse Practitioner in McKenzie, TN
• Providers in McKenzie, 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 Jun 19, 2026; 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.