Individual provider Active NPI

Courtney Faught, APN

  • Nurse Practitioner
  • Tiptonville, TN
National Provider Identifier
1457789380
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000017625 Issued in TN
Practice address
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone
(731) 253-6690
Fax
(731) 253-6692
NPI assigned
Nov 1, 2013
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000017625 TN Primary

Addresses

Primary practice location

710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678

Mailing address

1720 E Reelfoot Ave Ste 200
Union City, TN 38261-6049
Phone (731) 507-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140520000572 TN Practitioner - Nurse Practitioner 2961625934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians

Practice addresses (Care Compare)

616 W Forest Ave
Jackson, TN 38301-3902
Phone (731) 574-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince Nov 1, 2024 Accepting new patients
Premier Wound Care, PLLC Nurse Practitioner PastSince Aug 3, 2025 Accepting new patients
Bluff City Pain, PLLC PastSince Oct 21, 2025 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1457789380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE STE 200",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616049",
            "telephone_number": "731-507-0272",
            "fax_number": "731-507-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CARL PERKINS PKWY",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791678",
            "telephone_number": "731-253-6690",
            "fax_number": "731-253-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGHT",
        "first_name": "COURTNEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000017625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiptonville, TN

Sources for this page

Verify at the official NPI Registry.