Tracie Lavette Augusta, PH.D., DNP
Individual provider Active NPI Acute Care Nurse Practitioner · Memphis, TN
NPI 1669564845 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1669564845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- APN12230 (TN)
- Practice address
- 3960 New Covington Pike
Memphis, TN 38128-2504 - Phone
- (901) 516-5741
- Fax
- (901) 516-5986
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Inpatient Physicians LLC
Practice addresses (Care Compare)
3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5741
Hospital & facility affiliations
- Methodist Hospitals of Memphis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
- 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 |
|---|---|---|---|---|
| I20111129000471 | TN | Practitioner - Nurse Practitioner | 3476727504 | Reassigns benefits to 4 organizations |
| I20210204000561 | MS | Practitioner - Nurse Practitioner | 3476727504 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12230 | TN | MD | Social Worker |
| 105300 | TN | MD | Critical Care Medicine Registered Nurse |
| APN12230 | TN | MD | Family Nurse Practitioner |
| APN0000012230 | TN | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T M Carr MD PC | Current |
Accepting new patients | |
| Carr PLLC | Current |
Accepting new patients | |
| App of Tennessee HM, PLLC | Current |
Accepting new patients | |
| Methodist Inpatient Physicians LLC | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
1265 Union Ave
#1
Memphis, TN 38104
Phone (901) 516-8279
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
Interoperability endpoints
- taugusta43923@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 105300 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN12230 | TN | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | APN0000012230 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | APN12230 | TN | Yes |
Addresses
Primary practice location
3960 New Covington Pike
Memphis, TN 38128-2504
Mailing address
1211 Union Ave Ste 330
Memphis, TN 38104-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1527203 | Medicaid | TN |
Other providers in Memphis, TN
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- Attendant Care Services
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- Mary Anne Aubertin
- Zahra Auqil
- April Auriene
- Aurum Acupuncture, LLC
- Austin Roy Tyrer, Jr., M.D.
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All providers in Memphis, TN · Acute Care 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 May 27, 2025. 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.