Ryan Matthew Bellomy, AGACNP, FNP
Individual provider Active NPI Family Nurse Practitioner · Soddy Daisy, TN
NPI 1659998425 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1659998425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 27489 (TN)
- Practice address
- 210 Walmart Dr
Soddy Daisy, TN 37379-5022 - Phone
- (423) 332-6155
- NPI assigned
- Jun 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Health Partners Foundation Inc
Practice addresses (Care Compare)
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone (423) 332-6155
Hospital & facility affiliations
- Memorial Healthcare System, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201027001423 | TN | Practitioner - Nurse Practitioner | 4082024377 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 27489 | TN | |
| Family Nurse Practitioner | 363LF0000X | 27489 | TN | Yes |
Addresses
Primary practice location
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Mailing address
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Other providers in Soddy Daisy, TN
- Elaine S Amberson
- Michael L Ascough
- Aspire Dermatology and Skin Surgery Center PLLC
- Back2Health Chiropractic TN LLC
- Nancy Chiles Beckham
- Benchmark Healthcare Services LLC
- John D Bonner
- Nicholas Eugene Bowman
- Boyd Intellectual Properties
- Jonnie Lucy E. Boyd
All providers in Soddy Daisy, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.