Individual provider Active NPI

Peyton Dean

  • Family Nurse Practitioner
  • Dickson, TN
National Provider Identifier
1740963677
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34428 Issued in TN
Practice address
1904 Highway 46 S Ste 3
Dickson, TN 37055-7745
Phone
(615) 740-9977
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 34428 TN Primary

Addresses

Primary practice location

1904 Highway 46 S Ste 3
Dickson, TN 37055-7745

Mailing address

706 W College St
Dickson, TN 37055-1768

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
I20231129002635 TN Practitioner - Nurse Practitioner 3971951013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speight Family Medical, LLCGroup PAC ID 8224108048, 4 clinicians

Practice addresses (Care Compare)

1904 Hwy 46 S
Suite 3
Dickson, TN 37055-7745
Phone (615) 740-9977

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34428TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Speight Family Medical, LLC Family CurrentSince Nov 13, 2023 Accepting new patients

Locations

1904 Highway 46 S
Ste 3
Dickson, TN 37055
Phone (615) 441-6000

76 Tabb Dr
Ste E
Munford, TN 38058
Phone (901) 840-2102

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.

Hospital & facility affiliations 2

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1740963677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 HIGHWAY 46 S STE 3",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370557745",
            "telephone_number": "615-740-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "PEYTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.