Individual provider Active NPI

Shelly Marie Hargrove, NP-C

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1780961987
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16278 Issued in TN
Practice address
6688 Nolensville Rd Ste 108
Brentwood, TN 37027-8873
Phone
(706) 799-2749
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 16278 TN Primary

Addresses

Primary practice location

6688 Nolensville Rd Ste 108
Brentwood, TN 37027-8873

Mailing address

376 Malone Rd
Pulaski, TN 38478-8729
Phone (931) 638-1463

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
I20111228000554 TN Practitioner - Nurse Practitioner 3779759568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Express Care, LLCGroup PAC ID 5294904017, 5 clinicians
Magnolia Family Medicine and WellnessGroup PAC ID 4587051420, 2 clinicians

Practice addresses (Care Compare)

1211 Dinah Shore Blvd
Winchester, TN 37398-1107
Phone (931) 967-6669

1402 Willow Dr
Manchester, TN 37355-2438
Phone (931) 450-1000

Hospital & facility affiliations

  • Unity Medical Center Hospital, Manchester, TN, CCN 440007
  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16278TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Express Care, LLC Family CurrentSince Mar 5, 2013 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Magnolia Family Medicine and Wellness CurrentSince Feb 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019

1402 Willow Dr
Manchester, TN 37355
Phone (931) 450-1000

1211 Dinah Shore Blvd
Winchester, TN 37398
Phone (931) 967-6669

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1780961987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 MALONE RD",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384788729",
            "telephone_number": "931-638-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 NOLENSVILLE RD STE 108",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278873",
            "telephone_number": "706-799-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.