Individual provider Active NPI

Mandi Slaton-Saffles, FNP

  • Family Nurse Practitioner
  • Athens, TN
National Provider Identifier
1801247259
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21335 Issued in TN
Practice address
2037 Congress Pkwy S
Athens, TN 37303-2813
Phone
(423) 381-0152
Fax
(423) 381-8063
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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 21335 TN Primary

Addresses

Primary practice location

2037 Congress Pkwy S
Athens, TN 37303-2813

Mailing address

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

Other names 1

  • Mrs. Mandi Matthew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161220002222 TN Practitioner - Nurse Practitioner 6305127887 Reassigns benefits to 3 organizations
I20230721000128 NC Practitioner - Nurse Practitioner 6305127887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21335TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Dec 5, 2020 Accepting new patients
Love Without Walls Adult Care CurrentSince Jul 14, 2019 Accepting new patients
GLPS Staffing Solutions LLC CurrentSince Sep 25, 2018 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 7, 2023 Accepting new patients

Locations

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

4128 Monroe Rd
Charlotte, NC 28205
Phone (704) 337-0133

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303
Phone (423) 381-0152

623 Congress Pkwy S
Athens, TN 37303
Phone (423) 746-2245

111 Park St
Athens, TN 37303
Phone (423) 252-0075

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400

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.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1801247259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 CONGRESS PKWY S",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032813",
            "telephone_number": "423-381-0152",
            "fax_number": "423-381-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 CONGRESS PKWY S",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032813",
            "telephone_number": "423-381-0152",
            "fax_number": "423-381-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATON-SAFFLES",
        "first_name": "MANDI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "MATTHEW",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.