NPIMap

Individual provider Active NPI

Emily Katharine Bullock, N.P.

  • Family Nurse Practitioner
  • Huntingdon, TN
National Provider Identifier
1376512491
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6812 Issued in TN
Practice address
641 R B Wilson Dr
Suite G
Huntingdon, TN 38344
Phone
(731) 986-7400
Fax
(731) 986-7402
NPI assigned
Mar 14, 2006
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6812 TN Primary

Addresses

Primary practice location

641 R B Wilson Dr
Suite G
Huntingdon, TN 38344

Mailing address

P.O. Box 405827
Atlanta, GA 30384-5827

Other names 1

  • Emily Katharine Ward Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000156 TN Practitioner - Nurse Practitioner 3476455601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-4481

641 RB Wilson Dr
Huntingdon, TN 38344-1733
Phone (731) 986-4461

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6812TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Huntingdon CurrentSince Aug 20, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 14, 2016 Accepting new patients
Baptist Memorial Hospital-Huntingdon Current Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Apr 16, 2012 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 14, 2016 Accepting new patients
Baptist Memorial Hospital-Huntingdon CurrentSince Aug 20, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 16, 2012 Accepting new patients
Jackson Clinic PA PastSince Jan 3, 1995 Accepting new patients
Evans Medical Clinic PLLC Past Accepting new patients
Jackson Clinic PA Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

119 Veterans Dr N
Ste 100
Huntingdon, TN 38344
Phone (731) 535-3383

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

641 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-4461

641 Rb Wilson Dr
Ste G
Huntingdon, TN 38344
Phone (731) 986-7400

641 Rb Wilson Dr
Ste J
Huntingdon, TN 38344
Phone (731) 986-7429

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

Interoperability endpoints

  • Direct secure messaging: ebullock4510@direct.bmhcc.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1376512491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 R B WILSON DR",
            "address_2": "SUITE G",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "38344",
            "telephone_number": "731-986-7400",
            "fax_number": "731-986-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "EMILY",
        "middle_name": "KATHARINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WARD",
            "middle_name": "KATHARINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntingdon, TN

Sources for this page

Verify at the official NPI Registry.