NPIMap

Individual provider Active NPI

Susan Flaglor, FNP

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1851300990
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5886 Issued in TN
Practice address
1404 Tusculum Blvd
Suite 2100/2300
Greeneville, TN 37745-4395
Phone
(423) 639-2161
Fax
(423) 787-1904
NPI assigned
Aug 7, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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 5886 TN Primary

Addresses

Primary practice location

1404 Tusculum Blvd
Suite 2100/2300
Greeneville, TN 37745-4395

Mailing address

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747

Other identifiers 1

IdentifierTypeStateIssuer
3347649MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000311 TN Practitioner - Nurse Practitioner 0244373512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Medical Clinic LLCGroup PAC ID 6507115276, 2 clinicians

Practice addresses (Care Compare)

900 W Main St
Suite 1
Rogersville, TN 37857-2453
Phone (423) 552-5592

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 17, 2013 Accepting new patients
Cherokee Medical Clinic LLC CurrentSince Apr 4, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jun 17, 2013 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jul 1, 2012 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

149 Durham Dr
Maynardville, TN 37807
Phone (865) 992-2221

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

900 W Main St
Ste 1
Rogersville, TN 37857
Phone (423) 552-5592

900 W Main St
Ste 2
Rogersville, TN 37857
Phone (423) 272-8104

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1851300990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 TUSCULUM BLVD",
            "address_2": "SUITE 2100/2300",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454395",
            "telephone_number": "423-639-2161",
            "fax_number": "423-787-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGLOR",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "5886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347649",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.