Individual provider Active NPI

Tally S Cole, FNP

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1669817458
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17601 Issued in TN
Practice address
1223 Hatcher LN
Columbia, TN 38401-3531
Phone
(931) 840-4200
Fax
(931) 840-5757
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17601 TN Primary

Addresses

Primary practice location

1223 Hatcher LN
Columbia, TN 38401-3531

Mailing address

1223 Hatcher LN
Columbia, TN 38401-3531
Phone (931) 840-4200

Other identifiers 1

IdentifierTypeStateIssuer
1531988MedicaidTN

Other names 1

  • Tally S Fitzgerald Former name

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
I20130620000483 TN Practitioner - Nurse Practitioner 4688813736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles R Tessier DO PCGroup PAC ID 4284857285, 7 clinicians

Practice addresses (Care Compare)

1223 Hatcher LN
Columbia, TN 38401-3531
Phone (931) 840-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17601TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R Tessier DO PC CurrentSince Apr 16, 2024 Accepting new patients

Locations

1223 Hatcher Ln
Columbia, TN 38401
Phone (931) 840-4200

1223 Hatcher Ln
Ste A
Columbia, TN 38401

2927 Huntsville Hwy
Ste A
Fayetteville, TN 37334
Phone (931) 297-5028

911 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

909 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

1346 Dow St
Murfreesboro, TN 37130
Phone (334) 482-3136

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

116 Frank Martin Rd
Shelbyville, TN 37160
Phone (931) 684-5554

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1669817458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013531",
            "telephone_number": "931-840-4200",
            "fax_number": "931-840-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013531",
            "telephone_number": "931-840-4200",
            "fax_number": "931-840-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TALLY",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531988",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALLY",
            "last_name": "FITZGERALD",
            "middle_name": "S",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.