Individual provider Active NPI

Sherrie Lynn Smith, FNP-BC

  • Family Nurse Practitioner
  • Winchester, TN
National Provider Identifier
1851740773
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21265 Issued in TN
Practice address
155 Hospital Rd Ste H
Winchester, TN 37398-2495
Phone
(931) 962-3368
Fax
(931) 962-9804
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 21265 TN Primary

Addresses

Primary practice location

155 Hospital Rd Ste H
Winchester, TN 37398-2495

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (629) 236-4798

Other identifiers 1

IdentifierTypeStateIssuer
Q025087MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161104000837 TN Practitioner - Nurse Practitioner 8820376221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

100 Hunters LN
Tullahoma, TN 37388-8263
Phone (931) 455-4616

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 5, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 5, 2017 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 8, 2018 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 8, 2018 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1415 Hillsboro Blvd
#6
Manchester, TN 37355
Phone (855) 632-3278

150 Sam Walton Dr
Sparta, TN 38583
Phone (931) 332-0961

100 Hunters Ln
Tullahoma, TN 37388
Phone (931) 455-4616

1894 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-3522

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

155 Hospital Rd
Ste C
Winchester, TN 37398
Phone (931) 962-3297

155 Hospital Rd
Ste H
Winchester, TN 37398
Phone (931) 968-1992

Interoperability endpoints

  • Direct secure messaging: sherrie.smith.1@19363.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1851740773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "629-236-4798",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD STE H",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-962-3368",
            "fax_number": "931-962-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERRIE",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-02-17",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025087",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.