Charles D Flynn, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000019566 Issued in TN

Practice address

960 Maddox Simpson Pkwy
Lebanon, TN 37090-0751

Phone

(615) 444-0597

Fax

(615) 444-1251

NPI assigned

Feb 20, 2015

Last updated

Mar 31, 2025By 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment NPD
• Community Quick Care of Lavergne, PC

  • Family Medicine Physician
  • La Vergne, TN
  • NPI 1194023366
  Medicare reassignment NPD

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1669864195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MADDOX SIMPSON PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370900751",
            "telephone_number": "615-444-0597",
            "fax_number": "615-444-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 MADDOX SIMPSON PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370900751",
            "telephone_number": "615-444-0597",
            "fax_number": "615-444-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5148A Murfreesboro Rd",
            "address_purpose": "LOCATION",
            "city": "LA Vergne",
            "state": "TN",
            "postal_code": "370861009",
            "country_code": "US",
            "telephone_number": "615-213-2273",
            "fax_number": "615-213-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen D Fisher-Thorne, APRN, AANP-C
• William Fisher, CRNA
• John W Fisk Jr., MD
• Angela Marie Fitzpatrick, FNP-BC
• Kristin Chie Flores, NP
• Boston Tyler Follis
• Ronald Scott Forczek, CRTT
• Kelsey Turner Forlines, COTA/L
• Lisa M Forte, ACNP
• Fostering Resilience, PLLC

• Family Nurse Practitioner in Lebanon, TN
• Providers in Lebanon, 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 Mar 31, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.