Individual provider Active NPI

Martha Lynn Fleming, NP

  • Family Nurse Practitioner
  • Jonesborough, TN
National Provider Identifier
1558064527
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33546 Issued in TN
Practice address
805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone
(423) 850-8190
Fax
(423) 850-8191
NPI assigned
Mar 27, 2023
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33546 TN
Family Nurse Practitioner 363LF0000X 33546 TN Primary

Addresses

Primary practice location

805 W Jackson Blvd
Jonesborough, TN 37659-5270

Mailing address

805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190

Other practice location 1

337 Oriole Ln
Telford, TN 37690-2368
Phone (423) 620-4054

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
I20230427000586 TN Practitioner - Nurse Practitioner 0446615488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1800 W Market St
Johnson City, TN 37604-6023
Phone (931) 253-1110

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33546TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 23, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 23, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

805 W Jackson Blvd
Jonesborough, TN 37659
Phone (423) 850-8190

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, 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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1558064527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595270",
            "telephone_number": "423-850-8190",
            "fax_number": "423-850-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595270",
            "telephone_number": "423-850-8190",
            "fax_number": "423-850-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Oriole Ln",
            "address_purpose": "LOCATION",
            "city": "Telford",
            "state": "TN",
            "postal_code": "376902368",
            "country_code": "US",
            "telephone_number": "423-620-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "MARTHA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33546",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

Verify at the official NPI Registry.