Elijah Carpenter, FNP
Individual provider Active NPI Family Nurse Practitioner · MC Kenzie, TN
NPI 1275469157 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1275469157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 42279 (TN)
- Practice address
- 205A Hospital Dr
MC Kenzie, TN 38201-2024 - Phone
- (731) 352-7907
- Fax
- (833) 690-3848
- NPI assigned
- Jun 19, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 A Hospital Dr
MC Kenzie, TN 38201-2024
PO Box
Suite 808
Kingston, TN 37763-0808
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 42279 | TN | Yes |
Addresses
Primary practice location
205A Hospital Dr
MC Kenzie, TN 38201-2024
Mailing address
205A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (731) 352-7907
Other practice location 1
1731 S Meridian St
Greenfield, TN 38230-1827
Phone (731) 678-0055
Other practice location 2
105 N Cedar St
Gleason, TN 38229-7264
Phone (731) 648-5634
Other practice location 3
306 Highway 641 N
Camden, TN 38320-3012
Phone (731) 213-2344
Other practice location 4
30810 Broad St
Bruceton, TN 38317-2028
Phone (731) 586-4800
Other practice location 5
205C Hospital Dr
Mc Kenzie, TN 38201-2037
Phone (731) 207-8560
Other practice location 6
1894 Cedar St
Mc Kenzie, TN 38201-2206
Phone (731) 207-6496
Other practice location 7
2051 US Highway 45 Byp S
Trenton, TN 38382-2940
Phone (731) 393-7120
Other practice location 8
205A Court Sq
Huntingdon, TN 38344-3710
Phone (731) 535-5765
Other practice location 9
811 Morrow St Ste 207
Dresden, TN 38225-1847
Phone (731) 364-4900
Other practice location 10
175 Wildcat Ln
Mc Kenzie, TN 38201-2020
Phone (731) 352-4027
Other providers in MC Kenzie, TN
- Michael Lee Bryant
- Brittany Burkett
- Brooke Spivey Burress
- Kenneth T Butler
- Rustin Forest Cameron
- CCC Medical Equipment, Inc.
- Briana Page Chandler
- Philemon D Chang
- Alice Chapman
- Christian Care Center of McKenzie LLC
All providers in MC Kenzie, 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 19, 2026. 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.