Individual provider Active NPI

Tina Woodson, APRN

  • Acute Care Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1891233342
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22273 Issued in TN
Practice address
7645 Wolf River Cir
Germantown, TN 38138-1751
Phone
(901) 269-2929
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 22273 TN Primary

Addresses

Primary practice location

7645 Wolf River Cir
Germantown, TN 38138-1751

Mailing address

7645 Wolf River Cir
Germantown, TN 38138-1751
Phone (901) 869-2929

Other practice location 1

7684 Airways Blvd
Southaven, MS 38671-5304
Phone (901) 316-9807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20200326003329 TN Practitioner - Nurse Practitioner 3173868536 Reassigns benefits to 1 organization
I20250709003202 MS Practitioner - Nurse Practitioner 3173868536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memphis Neurology PLLCGroup PAC ID 2264510718, 6 clinicians

Practice addresses (Care Compare)

7645 Wolf River Cir
Suite 100
Germantown, TN 38138-1751
Phone (901) 405-0275

7684 Airways Blvd
Southaven, MS 38671-5304
Phone (901) 405-0275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22273TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Neurology PLLC CurrentSince Jul 1, 2025 Accepting new patients
Mittal Kidney and Dialysis PC PastSince Jul 1, 2025 Accepting new patients

Locations

7684 Airways Blvd
Southaven, MS 38671
Phone (901) 405-0275

7645 Wolf River Cir
Memphis, TN 38138
Phone (901) 405-0275

7645 Wolf River Cir
Ste 100
Memphis, TN 38138
Phone (901) 405-0275

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1891233342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381751",
            "telephone_number": "901-869-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 WOLF RIVER CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381751",
            "telephone_number": "901-269-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7684 Airways Blvd",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715304",
            "country_code": "US",
            "telephone_number": "901-316-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "TINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "22273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.