Individual provider Active NPI

Caroline Kelly Pigford, DNP, AGACNP-BC, APRN

  • Adult Health Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1548893472
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
27189 Issued in TN
Practice address
5906 Main St Ste 112
Ooltewah, TN 37363-7840
Phone
(423) 203-1606
Fax
(985) 202-8287
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 27189 TN
Adult Health Nurse Practitioner 363LA2200X 27189 TN Primary

Addresses

Primary practice location

5906 Main St Ste 112
Ooltewah, TN 37363-7840

Mailing address

5906 Main St Ste 112
Ooltewah, TN 37363-7840
Phone (423) 203-1606

Other practice location 1

5906 Main St Ste 112
Ooltewah, TN 37363-7840
Phone (423) 203-1606

Other names 1

  • Dr. Caroline Kelly Bacon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1548893472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 MAIN ST STE 112",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637840",
            "telephone_number": "423-203-1606",
            "fax_number": "985-202-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 MAIN ST STE 112",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637840",
            "telephone_number": "423-203-1606",
            "fax_number": "985-202-8287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5906 Main St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373637840",
            "country_code": "US",
            "telephone_number": "423-203-1606",
            "fax_number": "985-202-8287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIGFORD",
        "first_name": "CAROLINE",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DNP, AGACNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "27189",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "27189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "BACON",
            "middle_name": "KELLY",
            "prefix": "DR.",
            "credential": "DNP, AGACNP-BC, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.