Emily Katharine Bullock, N.P.
Individual provider Active NPI Family Nurse Practitioner · Huntingdon, TN
NPI 1376512491 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1376512491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6812 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Hospital-Huntingdon
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
- Volunteer Home Care
- Baptist Memorial Hospital - Carroll County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040127000156 | TN | Practitioner - Nurse Practitioner | 3476455601 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6812 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current | Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current |
Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Jackson Clinic PA | Past |
Accepting new patients | |
| Jackson Clinic PA | Past | Accepting new patients | |
| Evans Medical Clinic PLLC | 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
641 Rb Wilson Dr
Ste J
Huntingdon, TN 38344
Phone (731) 986-7429
641 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-4461
641 Rb Wilson Dr
Ste G
Huntingdon, TN 38344
Phone (731) 986-7400
631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933
8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806
7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466
Interoperability endpoints
- ebullock4510@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6812 | TN | Yes |
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
- Emily Katharine Ward
Other providers in Huntingdon, TN
- Gary Christopher Blount
- Amber Nicole Bradley
- Lisa Ann Brandon
- Paul Everett Brinkman
- Ashleigh Nichole Bullock
- Jennifer Nicole Byrd
- Caring Hands Family Medicine LLC
- Caring Hands of Tennessee LLC
- Carroll County Health Department
- Carroll Hospital Associates, PLLC
All providers in Huntingdon, 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 2, 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.