Individual provider Active NPI

Mackenzie Thomas, FNP-BC

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1730855735
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29760 Issued in TN
Practice address
5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067
Phone
(615) 885-1110
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 29760 TN Primary

Addresses

Primary practice location

5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067

Mailing address

One Gi Credentialing Department
PO Box 381468
Germantown, TN 38183-3945
Phone (901) 747-3630

Other practice location 1

920 S Hartmann Dr Ste 310
Lebanon, TN 37090-4137
Phone (615) 885-1093

Other practice location 2

1115B Dow St
Murfreesboro, TN 37130-2487
Phone (615) 896-6996

Other practice location 3

660 S Mount Juliet Rd Ste 220
MT Juliet, TN 37122-3920
Phone (615) 885-1093

Other identifiers 1

IdentifierTypeStateIssuer
Q070347MedicaidTN

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
I20210923001004 TN Practitioner - Nurse Practitioner 9032516760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

5653 Frist Blvd
Suite 530
Hermitage, TN 37076-2067
Phone (615) 885-1093

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC Nurse Practitioner CurrentSince Sep 7, 2021 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

2020 Exeter Rd
Germantown, TN 38138
Phone (901) 682-1233

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

5653 Frist Blvd
Ste 530
Hermitage, TN 37076
Phone (615) 885-1110

920 S Hartmann Dr
Ste 310
Lebanon, TN 37090

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

660 S Mount Juliet Rd
Ste 220
Mt Juliet, TN 37122

1115B Dow St
Murfreesboro, TN 37130
Phone (615) 896-6996

Organizations & group practices 2

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 1

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1730855735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GI CREDENTIALING DEPARTMENT",
            "address_2": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381833945",
            "telephone_number": "901-747-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 530",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762067",
            "telephone_number": "615-885-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hartmann Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904137",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115B Dow St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302487",
            "country_code": "US",
            "telephone_number": "615-896-6996",
            "fax_number": "615-896-6985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 S Mount Juliet Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223920",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MACKENZIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.