Active NPI
Ryan Matthew Bellomy, AGACNP, FNP
- Family Nurse Practitioner
- Soddy Daisy, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27489
- Practice address
- 210 Walmart Dr
Soddy Daisy, TN 37379-5022 - Phone
- (423) 332-6155
- NPI assigned
- Jun 28, 2020
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 27489 | TN | |
| Family Nurse Practitioner | 363LF0000X | 27489 | TN | Primary |
Addresses
Primary practice location
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Mailing address
210 Walmart Dr
Soddy Daisy, TN 37379-5022
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone (423) 332-6155
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27489 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients |
Locations
210 Walmart Dr
Soddy Daisy, TN 37379
Phone (423) 332-6155
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital Hixson
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
dba Memorial Hospital
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659998425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WALMART DR",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373795022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WALMART DR",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373795022",
"telephone_number": "423-332-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOMY",
"first_name": "RYAN",
"middle_name": "MATTHEW",
"credential": "AGACNP, FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-28",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "27489",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "27489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soddy Daisy, TN
- Elaine S Amberson, M.D.
- Michael L Ascough, FNP-C
- Aspire Dermatology and Skin Surgery Center PLLC
- Back2Health Chiropractic TN LLC (Total Health Chiropractic)
- Nancy Chiles Beckham, R.N.
- Benchmark Healthcare Services LLC
- John D Bonner, M.D.
- Nicholas Eugene Bowman, DMD
- Boyd Intellectual Properties
- Jonnie Lucy E. Boyd, RN, BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.