Diabetes Management Associates

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

6172 Issued in TN

Legal business name

DIABETES MANAGEMENT ASSOCIATES

Practice address

401 First Avenue
Mt. Pleasant, TN 38474

Phone

(931) 325-5560

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Sue Wood, DNPNPI 1255323721

Title

Owner

Phone

(931) 325-5560

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Sue Wood, DNP

  • Nurse Practitioner
  • Columbia, TN
  • NPI 1255323721
  Medicare reassignment Care Compare group NPD Authorized official
• Anna Abigail Markus, APRN

  • Primary Care Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1730729278
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1750891677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FIRST AVENUE",
            "city": "MT. PLEASANT",
            "state": "TN",
            "postal_code": "38474",
            "telephone_number": "931-325-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FIRST AVENUE",
            "city": "MT. PLEASANT",
            "state": "TN",
            "postal_code": "38474",
            "telephone_number": "931-325-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-325-5560",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "6172",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TN",
            "license": "74273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana J Chandler, DO
• Steven Edward Collins, M.A.
• James C Couch III, M.D.
• Peyton Crowell, DPT
• Delta Recovery Solutions
• James Quinton Dickerson IV, PHARM.D
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic, PLLC
• Trever Hawkins
• Charles Vance Hendrickson, DMD

• Primary Care Nurse Practitioner in Mt Pleasant, TN
• Providers in Mt Pleasant, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.