Individual provider Active NPI

Simrall Pratt Vaughn, MSN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1508235953
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20411 Issued in TN
Practice address
6170 Shallowford Rd
Ste 101
Chattanooga, TN 37421-1892
Phone
(423) 643-0772
Fax
(423) 648-8117
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 20411 TN Primary

Addresses

Primary practice location

6170 Shallowford Rd
Ste 101
Chattanooga, TN 37421-1892

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151202001344 TN Practitioner - Nurse Practitioner 0941500631 Reassigns benefits to 1 organization
I20200129003265 AL Practitioner - Nurse Practitioner 0941500631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, shared by 6 NPIs, 181 clinicians

Practice addresses (Care Compare)

2445 Memorial Blvd
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589

419 N Market St
Chattanooga, TN 37405-3974
Phone (423) 414-3012

4490 Hixson Pike
Hixson, TN 37343-5038
Phone (423) 875-0700

625 E 12TH St
South Pittsburg, TN 37380-1630
Phone (423) 648-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20411TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 5, 2018 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 5, 2018 Accepting new patients
Advantage Family Care, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Advantage Family Care Inc CurrentSince Nov 18, 2019 Accepting new patients

Locations

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781

2021 Hamilton Place Blvd
Chattanooga, TN 37421
Phone (423) 855-9285

419 N Market St
Ste 100
Chattanooga, TN 37405
Phone (423) 414-3012

4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500

2021 Hamilton Place Blvd
Ste G
Chattanooga, TN 37421
Phone (423) 899-6222

403 McBrien Rd
East Ridge, TN 37412
Phone (423) 875-0700

4490 Hixson Pike
Hixson, TN 37343
Phone (423) 875-0700

524 Market Dr
Lenoir City, TN 37771
Phone (865) 988-0096

525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

625 E 12th St
South Pittsburg, TN 37380
Phone (423) 648-4460

Organizations & group practices 4

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1508235953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 SHALLOWFORD RD",
            "address_2": "STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211892",
            "telephone_number": "423-643-0772",
            "fax_number": "423-648-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "SIMRALL",
        "middle_name": "PRATT",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.