Organization Active NPI

NG Holdings

Doing business as NexGen Health and Wellness

  • Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1881255610
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NG HOLDINGS
Doing business as
NexGen Health and Wellness
Practice address
7424 Hwy 64, Suite 118
Bartlett, TN 38133
Phone
(901) 244-6631
Fax
(901) 244-6573
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Dawn M Barrom, ACNPNPI 1538454046
Title
NP/Owner
Phone
(901) 244-6631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7424 Hwy 64, Suite 118
Bartlett, TN 38133

Mailing address

7424 Hwy 64, Suite 118
Bartlett, TN 38133
Phone (901) 244-6631

Other names 1

  • NexGen Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190823001036 TN Part B Supplier - Clinic/Group Practice 1254669591 Receives reassigned benefits from 2 practitioners
Practice locations: Bartlett, TN

National Provider Directory

National Provider Directory

Locations

7424 US Highway 64
Ste 118
Bartlett, TN 38133
Phone (901) 244-6631

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1881255610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 HWY 64, SUITE 118",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38133",
            "telephone_number": "901-244-6631",
            "fax_number": "901-244-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 HWY 64, SUITE 118",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38133",
            "telephone_number": "901-244-6631",
            "fax_number": "901-244-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NG HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "BARROM",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "901-244-6631",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NexGen Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.