Individual provider Active NPI

Maddison Josephine Davis White, FNP-C

  • Family Nurse Practitioner
  • Decatur, TN
National Provider Identifier
1487457974
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38492 Issued in TN
Practice address
16850 State Highway 58 S
Decatur, TN 37322-5259
Phone
(423) 334-3200
Fax
(423) 454-0125
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 38492 TN Primary

Addresses

Primary practice location

16850 State Highway 58 S
Decatur, TN 37322-5259

Mailing address

297 Creekwood Cove LN Apt 8a
Lenoir City, TN 37772-6392
Phone (865) 518-3953

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
I20250527002039 TN Practitioner - Nurse Practitioner 1355860016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration ClinicGroup PAC ID 1456577451, 6 clinicians

Practice addresses (Care Compare)

16850 State Hwy 58 S
Suite a
Decatur, TN 37322-7882
Phone (423) 506-3781

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38492TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Clinic CurrentSince May 23, 2025 Accepting new patients
Restoration Clinic Family Current Accepting new patients
Medical Specialties PLLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

16850 State Highway 58 S
Decatur, TN 37322
Phone (423) 334-2300

16850 State Highway 58 S
Ste A
Decatur, TN 37322
Phone (423) 334-2300

16850 State Highway 58 S
Ste B
Decatur, TN 37322
Phone (423) 507-7961

17619 State Highway 58 N
Ste C
Decatur, TN 37322
Phone (423) 334-2300

Interoperability endpoints

  • Direct secure messaging: maddison.white@130887584317444.direct.elationemr.com

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.

Hospital & facility affiliations 1

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1487457974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 CREEKWOOD COVE LN APT 8A",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726392",
            "telephone_number": "865-518-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 STATE HIGHWAY 58 S",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373225259",
            "telephone_number": "423-334-3200",
            "fax_number": "423-454-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MADDISON",
        "middle_name": "JOSEPHINE DAVIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TN

Sources for this page

Verify at the official NPI Registry.