Caleigh Blair, NP
Individual provider Active NPI Family Nurse Practitioner · Mountain City, TN
NPI 1750127668 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1750127668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 36611 (TN)
- Practice address
- 595 Hospital Hill Rd
Mountain City, TN 37683-4341 - Phone
- (423) 237-6546
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
414 Northeast St
Elizabethton, TN 37643-2306
Phone (423) 666-6174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240820001831 | TN | Practitioner - Nurse Practitioner | 8628516754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36611 | TN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033
2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 36611 | TN | Yes |
Addresses
Primary practice location
595 Hospital Hill Rd
Mountain City, TN 37683-4341
Mailing address
595 Hospital Hill Rd
Mountain City, TN 37683-4341
Other providers in Mountain City, TN
- Julie Barefoot
- Floyd James Barker II
- Benjamin H. Barkley DDS Mountain City Dental
- Angela Berardi
- Bio-Medical Applications of Tennessee, Inc.
- Reshana D Blevins
- Blue Ridge Medical Management Corpoartion
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
All providers in Mountain City, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.