Deborah Dillard

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22871 Issued in TN

Practice address

629 Nuckolls Rd
Bolivar, TN 38008-1599

Phone

(731) 658-3388

Fax

(731) 659-3131

NPI assigned

May 11, 2017

Last updated

May 5, 2025By 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 2

Addresses

Other names 1

• Deborah Naylor Former name

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hardeman County Community Health CenterGroup PAC ID 5799694147, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Tennessee Healthcare Bolivar Hospital Hospital, Bolivar, TN, CCN 441320
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.dillard.1@27086.direct.athenahealth.com
• Direct secure messaging: deborah.dillard.p1@direct.hcchc.nextgenshare.com

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.

• Hardeman County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bolivar, TN
  • NPI 1861468340
  Medicare reassignment Care Compare group NPD
• Hardeman County Community Health Center

  dba HCCHC Women & Children's Center

  • Federally Qualified Health Center (FQHC)
  • Bolivar, TN
  • NPI 1942049135
  NPD
• Hardeman County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bolivar, TN
  • NPI 1659875227
  NPD (past)

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

• Bolivar General Hospital, Inc.

  dba West Tennessee Healthcare Bolivar Hospital

  • Critical Access Hospital
  • Bolivar, TN
  • NPI 1518957950
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1851828677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081539",
            "telephone_number": "731-658-3388",
            "fax_number": "731-659-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081599",
            "telephone_number": "731-658-3388",
            "fax_number": "731-659-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Nuckolls Rd",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380081539",
            "country_code": "US",
            "telephone_number": "731-658-3388",
            "fax_number": "731-658-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22871",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "95302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "NAYLOR",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Katherine Anne Decolibus, DDS
• Tatyana Demato, MSW
• Joan Charlene Dewey, COTA
• Lawrence Diaz, D.O.
• Koletta Douglas, B.S.
• Lindsay Martin Dowdy, PHARMD
• Robert Wayne Dunavant, M.D.
• Express Save-on Drugs LLC
• Angela Farr, SLP

• Family Nurse Practitioner in Bolivar, TN
• Providers in Bolivar, 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 May 5, 2025; 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.