Deborah M Kittle – Family Nurse Practitioner

Key facts

NPI: 1891304168
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 27676 (TN)
Practice address: 325 S Cedar Ave Ste 2
South Pittsburg, TN 37380-1322
Phone: (423) 837-5801
Fax: (423) 837-5807
NPI assigned: Jul 23, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Renaissance Health and Surgical Associates, P.C. Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · South Pittsburg, TN · NPI 1801941539

Medicare reassignment Care Compare group NPD TN
Covenant Allergy and Asthma Care PLLC Allergy & Immunology Physician · Chattanooga, TN · NPI 1396994802

NPD (past)
PSF PLLC Allergy & Immunology Physician · Louisville, KY · NPI 1881785947

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Renaissance Health and Surgical Associates, P.C. (2 clinicians)

Practice addresses (Care Compare)

325 S Cedar Ave
Suite 2
South Pittsburg, TN 37380-1322
Phone (423) 837-5801

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20200915002562	TN	Practitioner - Nurse Practitioner	9931527413	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Status	New patients
Renaissance Health and Surgical Associates, P.C.	Current since Aug 16, 2021	Accepting new patients
PSF PLLC	Past since Jun 19, 2023	Accepting new patients
Covenant Allergy and Asthma Care PLLC	Past since Aug 1, 2020	Accepting new patients

Locations

325 S Cedar Ave
Ste 2
South Pittsburg, TN 37380
Phone (423) 228-4170

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	27676	TN	Yes

Addresses

Primary practice location

325 S Cedar Ave Ste 2
South Pittsburg, TN 37380-1322

Mailing address

325 S Cedar Ave Ste 2
South Pittsburg, TN 37380-1322
Phone (423) 837-5801

Other practice location 1

1030 E 4th St
Chattanooga, TN 37403-2126
Phone (423) 837-5801

Other names

Deborah M Palmer Former name

Other providers in South Pittsburg, TN

All providers in South Pittsburg, TN · Family Nurse Practitioner in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.