Individual provider Active NPI

Harold Chadwick Fitzhugh, FNP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1871215707
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32784 Issued in TN
Practice address
2416 Lower Brownsville Rd
Jackson, TN 38301-9655
Phone
(731) 431-4458
NPI assigned
Sep 16, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32784 TN Primary
Emergency Registered Nurse 163WE0003X 0000145290 TN

Addresses

Primary practice location

2416 Lower Brownsville Rd
Jackson, TN 38301-9655

Mailing address

2416 Lower Brownsville Rd
Jackson, TN 38301-9655
Phone (731) 431-4458

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
I20230206000050 TN Practitioner - Nurse Practitioner 7012389869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

2634 N Central Ave
Humboldt, TN 38343-1534
Phone (731) 324-1526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000145290TNMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 29, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 29, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

2634 N Central Ave
Humboldt, TN 38343
Phone (731) 324-1526

Organizations & group practices 4

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1871215707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 LOWER BROWNSVILLE RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383019655",
            "telephone_number": "731-431-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 LOWER BROWNSVILLE RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383019655",
            "telephone_number": "731-431-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHUGH",
        "first_name": "HAROLD",
        "middle_name": "CHADWICK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32784",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "0000145290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.