Kimberly Ann Crain

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30640 Issued in TN

Practice address

2380 Buffalo Rd
Lawrenceburg, TN 38464-4809

Phone

(931) 762-6548

NPI assigned

Oct 13, 2021

Last updated

Aug 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Medical Professionals, P.C.Group PAC ID 8224224357, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare of Columbia Home health agency, Columbia, TN, CCN 447125
• Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175
• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAJABA

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.

• Northside Medical Professionals, P.C.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1295044097

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Aligned Medical Center LLC

  • Clinic/Center
  • Lawrenceburg, TN
  • NPI 1467921650

  Single Specialty

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  Single Specialty

  Medicare reassignment NPD
• Integrated Health Transitions, PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1922463470

  Single Specialty

  Medicare reassignment NPD
• Renuven Aco PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1568209872

  Single Specialty

  Medicare reassignment NPD
• Shoals Primary Care, LLC

  • Family Medicine Physician
  • Sheffield, AL
  • NPI 1326373861

  Single Specialty

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Northside Medical Professionals, P.C.

  dba Northside Medical Professionals Lawrenceburg

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1275399594

  Single Specialty

  NPD
• Renuven Health Partners of Georgia PC

  • Internal Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1871196519

  Single Specialty

  NPD (past)

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

• Crockett Hospital LLC

  dba Southern Tennessee Regional Health System Lawrenceburg

  • Rural Acute Care Hospital
  • Lawrenceburg, TN
  • NPI 1114003175
  Care Compare affiliation
• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Dickson, TN
  • NPI 1164448437
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lewisburg, TN
  • NPI 1205852589
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Columbia, TN
  • NPI 1669498937
  Care Compare affiliation
• NHC-Op LP

  dba NHC HomeCare, Pulaski

  • Home Health Agency
  • Pulaski, TN
  • NPI 1730105016
  Care Compare affiliation
• NHC-Op LP

  dba NHC HomeCare-Lawrenceburg

  • Home Health Agency
  • Lawrenceburg, TN
  • NPI 1962428243
  Care Compare affiliation

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1871255174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 BUFFALO RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644809",
            "telephone_number": "931-762-6548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "482 Rabbit Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Leoma",
            "state": "TN",
            "postal_code": "384685652",
            "country_code": "US",
            "telephone_number": "931-629-1963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "931-762-7232",
            "fax_number": "931-762-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30640",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000161406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cottages Lawrenceburg, LLC (Country Cottage)
• Country Cottage - RCL, LLC (Country Cottage)
• Countryside TN Opco LLC (Countryside Health and Rehabilitation)
• Countryside TN Rehab LLC (Countryside Post-Acute and Rehabilitation Center)
• County of Lawrence (Lawrence County Ambulance Service)
• Paisley Crane
• Crockett Foot and Ankle Clinic, Inc.
• Crockett Hospital LLC (Southern Tennessee Regional Health System Lawrenceburg)
• Crockett Hospital LLC (Southern Tennessee Regional Health System Lawrenceburg)
• Crockett Hospital LLC (Southern Tennessee Regional Health System Lawrenceburg)

• Family Nurse Practitioner in Lawrenceburg, TN
• Providers in Lawrenceburg, 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 Aug 14, 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.