Individual provider Active NPI

Taylor A Womack, FNP-C

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1316533748
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28712 Issued in TN
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

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210506001396 TN Practitioner - Nurse Practitioner 6507275351 Reassigns benefits to 1 organization
I20250213002559 GA Practitioner - Nurse Practitioner 6507275351 Reassigns benefits to 1 organization

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
Chattanooga Allergy Clinic , PLLCGroup PAC ID 6507879962, 19 clinicians

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

LicenseStateTypeSpecialty
206975TNMDRegistered Nurse
28712TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Allergy Clinic , PLLC CurrentSince Jan 6, 2025 Accepting new patients
Tennessee Kidney Care PLLC PastSince Sep 1, 2017 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.

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

Verify at the official NPI Registry.