Individual provider Active NPI

Scott Sampson Norris

  • Family Nurse Practitioner
  • Henderson, TN
National Provider Identifier
1669954889
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000024106 Issued in TN
Practice address
116 W Main St
Henderson, TN 38340-2231
Phone
(731) 989-0001
Fax
(731) 989-5151
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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 APN0000024106 TN Primary

Addresses

Primary practice location

116 W Main St
Henderson, TN 38340-2231

Mailing address

116 W Main St
Henderson, TN 38340-2231
Phone (731) 989-0001

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
I20181023001651 TN Practitioner - Nurse Practitioner 4486907391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

1270 Union University Dr
Suite a
Jackson, TN 38305-3856
Phone (731) 664-0103

270 E Court Ave
Suite B
Selmer, TN 38375-0000
Phone (731) 645-7932

Hospital & facility affiliations

  • Volunteer Homecare of West TN Home health agency, Parsons, TN, CCN 447561
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000024106TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frix-Jennings Clinic PC CurrentSince Sep 6, 2018 Accepting new patients
West Tennessee Medical Group Inc CurrentSince Apr 12, 2023 Accepting new patients
WT Medical Associates Family CurrentSince Jul 31, 2025 Accepting new patients
WT Medical Associates CurrentSince Jul 31, 2025 Accepting new patients

Locations

710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

1700 W Market St
Ste J
Bolivar, TN 38008
Phone (731) 652-5772

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

116 W Main St
Henderson, TN 38340
Phone (731) 427-5581

426 White Ave
Henderson, TN 38340
Phone (731) 989-2174

1410 US Highway 70 Byp
Jackson, TN 38301
Phone (731) 421-4825

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103

3441 Ridgecrest Road Ext
Jackson, TN 38305
Phone (731) 988-9071

101 Jackson Walk Plz
Jackson, TN 38301
Phone (731) 421-6950

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

9159 Telecom Dr
Milan, TN 38358
Phone (731) 215-0160

101 Marvin Dr
Ripley, TN 38063
Phone (731) 221-3275

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

Interoperability endpoints

  • Direct secure messaging: snorris27396@directepic.wth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1669954889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402231",
            "telephone_number": "731-989-0001",
            "fax_number": "731-989-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402231",
            "telephone_number": "731-989-0001",
            "fax_number": "731-989-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "SCOTT",
        "middle_name": "SAMPSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000024106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

Verify at the official NPI Registry.