Active NPI
Taylor A Womack, FNP-C
- Family Nurse Practitioner
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28712
- Practice address
- 201 Dooley St SE
Cleveland, TN 37311-6220 - Phone
- (423) 728-7020
- Fax
- (423) 479-6130
- NPI assigned
- Dec 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28712 | TN | Primary |
| Registered Nurse | 163W00000X | 206975 | TN |
Addresses
Primary practice location
201 Dooley St SE
Cleveland, TN 37311-6220
Mailing address
201 Dooley St SE
Cleveland, TN 37311-6220
Phone (423) 728-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1005 Executive Dr
Suite 101
Hixson, TN 37343-7904
Phone (423) 899-0431
163 Walnut Grove Church Rd
Suite 101
Dayton, TN 37321-6105
Phone (423) 899-0431
325 Market St
Suite 100
Chattanooga, TN 37402-1226
Phone (423) 899-0431
3760 Ocoee PL NW
Suite 100
Cleveland, TN 37312-5637
Phone (423) 899-0431
5243 Little Debbie Pkwy
Suite 119
Ooltewah, TN 37363-4515
Phone (423) 899-0431
6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 899-0431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206975 | TN | MD | Registered Nurse |
| 28712 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Allergy Clinic , PLLC | Current | Accepting new patients | |
| Tennessee Kidney Care PLLC | Past | Accepting new patients | |
| Beacon Health Alliance PC | Past | Accepting new patients |
Locations
4630 Battlefield Pkwy
Ringgold, GA 30736
6734 Lee Hwy
Chattanooga, TN 37421
Phone 42389904311501
325 Market St
Ste 100
Chattanooga, TN 37402
Phone (423) 899-0341
325 Market St
Ste A1
Chattanooga, TN 37402
3760 Ocoee Pl NW
Ste 100
Cleveland, TN 37312
1005 Executive Dr
Ste 101
Hixson, TN 37343
24 Mountain View Dr
Kimball, TN 37347
Phone (423) 942-6022
5243 Little Debbie Pkwy
Ste 119
Ooltewah, TN 37363
Phone (423) 238-2036
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1447205182
-
- Nephrology Physician
- Cleveland, TN
- NPI 1073963716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1316533748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DOOLEY ST SE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373116220",
"telephone_number": "423-728-7020",
"fax_number": "423-479-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DOOLEY ST SE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373116220",
"telephone_number": "423-728-7020",
"fax_number": "423-479-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "TAYLOR",
"middle_name": "A",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-20",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "28712",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "206975",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.