Individual provider Active NPI

Courtney Brooke Hollis, NP

  • Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1518522309
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
00000 Issued in TN
Practice address
1400 Hatcher LN
Columbia, TN 38401-3563
Phone
(615) 419-4990
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 00000 TN Primary

Addresses

Primary practice location

1400 Hatcher LN
Columbia, TN 38401-3563

Mailing address

1400 Hatcher LN
Columbia, TN 38401-3563
Phone (615) 410-4990

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
I20190812003588 TN Practitioner - Nurse Practitioner 7214264373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2548 Rideout LN
Murfreesboro, TN 37128-7686
Phone (615) 410-4990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.98 of 100Reported as group
Quality
27.23
Promoting interoperability
94
Improvement activities
40
Cost
75.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Center, PLLC CurrentSince May 1, 2023 Accepting new patients
Maury Regional Medical Group, Inc CurrentSince May 13, 2019 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince May 13, 2019 Accepting new patients
Comprehensive Neurology Center, PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

1400 Hatcher Ln
Columbia, TN 38401
Phone (931) 381-7000

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

2140 N Thompson Ln
Ste 100
Murfreesboro, TN 37129

2548 Rideout Ln
Murfreesboro, TN 37128
Phone 61541049901007

Interoperability endpoints

  • Direct secure messaging: courtney.hollis.1@30188.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1518522309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013563",
            "telephone_number": "615-410-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013563",
            "telephone_number": "615-419-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "COURTNEY",
        "middle_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-02-20",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.