Individual provider Active NPI

Caleigh Blair, NP

  • Family Nurse Practitioner
  • Mountain City, TN
National Provider Identifier
1750127668
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36611 Issued in TN
Practice address
595 Hospital Hill Rd
Mountain City, TN 37683-4341
Phone
(423) 237-6546
NPI assigned
Jul 2, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 36611 TN Primary

Addresses

Primary practice location

595 Hospital Hill Rd
Mountain City, TN 37683-4341

Mailing address

595 Hospital Hill Rd
Mountain City, TN 37683-4341

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
I20240820001831 TN Practitioner - Nurse Practitioner 8628516754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

414 Northeast St
Elizabethton, TN 37643-2306
Phone (423) 666-6174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36611TNMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 9, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 9, 2024 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1750127668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HOSPITAL HILL RD",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HOSPITAL HILL RD",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376834341",
            "telephone_number": "423-237-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CALEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

Verify at the official NPI Registry.