Individual provider Active NPI

Deborah K Jolleywatson, D.PH.

  • Specialist
  • Winchester, TN
National Provider Identifier
1831174002
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C6329 Issued in TN
Practice address
131 Haynes Hollow Rd
Winchester, TN 37398-4118
Phone
(931) 968-0001
NPI assigned
Dec 10, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C6329 TN Primary

Addresses

Primary practice location

131 Haynes Hollow Rd
Winchester, TN 37398-4118

Mailing address

131 Haynes Hollow Rd
Winchester, TN 37398-4118
Phone (931) 968-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C6329TNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831174002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HAYNES HOLLOW RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373984118",
            "telephone_number": "931-968-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HAYNES HOLLOW RD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373984118",
            "telephone_number": "931-968-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEYWATSON",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "C6329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.