Logan J Rummells

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33564 Issued in TN

Practice address

100 E Highway 77
Newbern, TN 38059-1169

Phone

(731) 627-3553

NPI assigned

Feb 8, 2023

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Family Care Clinic PLLCGroup PAC ID 8921396912, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• Volunteer Home Care Home health agency, Humboldt, TN, CCN 447557
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• West Family Care Clinic PLLC

  dba West Family Care Clinic

  • Rural Health Clinic/Center
  • Newbern, TN
  • NPI 1285008367
  Medicare reassignment Care Compare group NPD
• Memphis Radiological, PC

  dba P.E.T. Imaging Center

  • Nuclear Radiology Physician
  • Memphis, TN
  • NPI 1457350514
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• HHC, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Volunteer Home Care, Inc.

  • Home Health Agency
  • Humboldt, TN
  • NPI 1659320190
  Care Compare affiliation

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1851098164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 LAURA LN",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242916",
            "telephone_number": "731-377-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HIGHWAY 77",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591169",
            "telephone_number": "731-627-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMELLS",
        "first_name": "LOGAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen Newbaker, DPH
• Newbern Discount Drug LLC
• Newbern Medical Clinic, PC
• Presley Diabetes and Endocrine Center, PLLC
• Kagan Marie Qualls, COTA/L
• Wanda Faye Smith, RN
• West Family Care Clinic PLLC (West Family Care Clinic)
• Laura West

• Family Nurse Practitioner in Newbern, TN
• Providers in Newbern, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.