Individual provider Active NPI

Bailey Lynn Tullis, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1720798580
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32855 Issued in TN
Practice address
1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237
Phone
(423) 282-2516
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 32855 TN Primary

Addresses

Primary practice location

1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237

Mailing address

122 Mobley Rd
Blountville, TN 37617-5429
Phone (423) 335-3245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230523002342 TN Practitioner - Nurse Practitioner 1052777661 Reassigns benefits to 3 organizations
I20250304002816 VA Practitioner - Nurse Practitioner 1052777661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1005 Mountain Creek Rd
Chattanooga, TN 37405-1638
Phone (423) 874-0200

1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone (423) 830-0516

1913 Hwy 394
Blountville, TN 37617-5349
Phone (423) 662-7002

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190

860 Wolf Creek TRL
Abingdon, VA 24210-2536
Phone (864) 593-2935

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC Single Specialty CurrentSince Apr 18, 2023 Accepting new patients
Health Providers of America, LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 18, 2023 Accepting new patients
Appalachian Health Care, Inc Single Specialty CurrentSince Dec 6, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Jun 16, 2024 Accepting new patients

Locations

1913 Highway 394
Ste 2
Blountville, TN 37617
Phone (423) 662-6002

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

1009 Novus Dr
Ste 1A
Johnson City, TN 37604
Phone (423) 282-2516

3549 Norriswood Ave
Memphis, TN 38111
Phone (864) 671-0600

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

860 Wolf Creek Trl
Abingdon, VA 24210
Phone (276) 628-1621

Organizations & group practices 7

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1720798580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MOBLEY RD",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376175429",
            "telephone_number": "423-335-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 1A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-282-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLIS",
        "first_name": "BAILEY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.