Individual provider Active NPI

Courtney Maxwell

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1861155194
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30316 Issued in TN
Practice address
397 Wallace Rd Ste 203
Nashville, TN 37211-8026
Phone
(615) 831-5422
NPI assigned
Oct 13, 2021
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 30316 TN Primary

Addresses

Primary practice location

397 Wallace Rd Ste 203
Nashville, TN 37211-8026

Mailing address

397 Wallace Rd Ste 203
Nashville, TN 37211-8026
Phone (615) 831-5422

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
I20211029000944 TN Practitioner - Nurse Practitioner 3274921960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists of Middle Tennessee LLCGroup PAC ID 7012088180, 8 clinicians

Practice addresses (Care Compare)

397 Wallace Rd
Suite C203
Nashville, TN 37211-8018
Phone (615) 831-5422

Merit-based Incentive Payment System (MIPS)

Final score
87.98 of 100Reported as group
Quality
95.05
Promoting interoperability
99
Improvement activities
40
Cost
65.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialists of Middle Tennessee LLC CurrentSince Aug 1, 2022 Accepting new patients
Southern Hills Neurology Consultants LLC PastSince Aug 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

397 Wallace Rd
Ste 203
Nashville, TN 37211
Phone (615) 831-5422

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1861155194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118026",
            "telephone_number": "615-831-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118026",
            "telephone_number": "615-831-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.