Individual provider Active NPI

Tia McNamee

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1447985676
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11210786 Issued in KY
Practice address
5575 Scottsville Rd
Bowling Green, KY 42104-6800
Phone
(270) 282-7088
Fax
(270) 647-6479
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 F11210786 KY Primary

Addresses

Primary practice location

5575 Scottsville Rd
Bowling Green, KY 42104-6800

Mailing address

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Other names 1

  • Tia Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230106002116 KY Practitioner - Nurse Practitioner 9931579950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

1151 W 9TH St
Russellville, KY 42276-9760
Phone (270) 847-4033

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

5575 Scottsville Rd
Bowling Green, KY 42104-6800
Phone (270) 781-6477

Merit-based Incentive Payment System (MIPS)

Final score
88.72 of 100Reported as apm
Quality
85.23
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11210786KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 1, 2023 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Aug 26, 2024 Accepting new patients
Geeta S Chavda MD PLLC CurrentSince Sep 28, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Aug 26, 2024 Accepting new patients
Western Kentucky Orthopaedic and Neurosurgical Associates PLLC PastSince Sep 28, 2022 Accepting new patients

Locations

5575 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 282-7088

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1225 Fairway St
Bowling Green, KY 42103
Phone (270) 781-3910

2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560

6807 Louisville Rd
Bowling Green, KY 42101
Phone (270) 597-3757

5796 Nashville Rd
Bowling Green, KY 42101
Phone (270) 745-0987

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

405 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 479-0260

1739 Canton St
Hopkinsville, KY 42240
Phone (270) 881-1411

Interoperability endpoints

  • Direct secure messaging: tiawilson@ggc.allscriptsdirect.net

Organizations & group practices 6

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1447985676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011742",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046800",
            "telephone_number": "270-282-7088",
            "fax_number": "270-647-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMEE",
        "first_name": "TIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "F11210786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.