Individual provider Active NPI

Maudessa Y Faulkner, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1821972787
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
39314 Issued in TN
Practice address
1400 Rosewood Dr
Columbia, TN 38401-4878
Phone
(931) 309-8002
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 39314 TN Primary

Addresses

Primary practice location

1400 Rosewood Dr
Columbia, TN 38401-4878

Mailing address

609 Wilson Ave
Pulaski, TN 38478-4509
Phone (931) 309-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 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
I20251013002004 TN Practitioner - Nurse Practitioner 6507353711 Reassigns benefits to 3 organizations
I20260223002768 AL Practitioner - Nurse Practitioner 6507353711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

1400 Rosewood Dr
Columbia, TN 38401-4878
Phone (931) 388-6573

5315 Millennium Dr NW
Huntsville, AL 35806-2458
Phone (256) 964-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39314TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Sep 3, 2025 Accepting new patients
Behavioral Healthcare Center at Clarksville, LLC CurrentSince Feb 1, 2026 Accepting new patients
Behavioral Healthcare Center at Columbia, LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

200 Rowland Dr
Bridgeport, AL 35740
Phone (256) 695-4495

5315 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 964-6700

930 Professional Park Dr
Clarksville, TN 37040
Phone (615) 981-3586

1400 Rosewood Dr
Columbia, TN 38401
Phone (888) 585-8511

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356

1645 Florence Rd
Savannah, TN 38372
Phone (731) 926-4200

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, 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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1821972787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WILSON AVE",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784509",
            "telephone_number": "931-309-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014878",
            "telephone_number": "931-309-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "MAUDESSA",
        "middle_name": "Y",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "39314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.