Douglas Peter Ead, FNP - C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25619 Issued in TN

Practice address

6498 Prospect Rd
Prospect, TN 38477-6384

Phone

(931) 309-9460

NPI assigned

Mar 19, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nwh3274@yourcarecommunity.org

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.

• Amg-Crockett, LLC

  dba Advanced Neurology Associates

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732
  Medicare reassignment NPD
• Amg-Hillside LLC

  dba Giles County Orthopaedic and Joint Center

  • Orthopaedic Surgery Physician
  • Pulaski, TN
  • NPI 1710105499
  Medicare reassignment NPD
• Amg Crockett LLC

  dba Southern Tennessee Heart

  • Cardiovascular Disease Physician
  • Lawrenceburg, TN
  • NPI 1013374073
  NPD
• Amg-Crockett, LLC

  dba Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD
• Amg-Hillside LLC

  • Internal Medicine Physician
  • Pulaski, TN
  • NPI 1053734186
  NPD
• Amg-Hillside LLC

  dba Southern Tennessee Primary Care Lynnville

  • Rural Health Clinic/Center
  • Lynnville, TN
  • NPI 1407688369
  NPD
• Amg -Southern Tennessee LLC

  • Internal Medicine Physician
  • Monteagle, TN
  • NPI 1699792390
  NPD (past)
• Amg Hillside LLC

  • Infectious Disease Physician
  • Pulaski, TN
  • NPI 1891860797
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1629537410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S LOCUST AVE",
            "address_2": "STE 101",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644053",
            "telephone_number": "931-762-4400",
            "fax_number": "931-762-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6498 PROSPECT RD",
            "city": "PROSPECT",
            "state": "TN",
            "postal_code": "384776384",
            "telephone_number": "931-309-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAD",
        "first_name": "DOUGLAS",
        "middle_name": "PETER",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Anderson, FNP
• Robert Armster, Jr.
• Community Birth Group
• National Birth Centers, Inc.
• Private Healthcare Facilities
• Uncompromised Care, PLLC

• Family Nurse Practitioner in Prospect, TN
• Providers in Prospect, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.