Tammy Holcomb, NP
Individual provider Active NPI Family Nurse Practitioner · Newbern, TN
NPI 1891701710 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1891701710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 148405 (TN)
- Practice address
- 625 W Main St
Newbern, TN 38059-1572 - Phone
- (731) 627-0700
- Fax
- (731) 627-2200
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
625 W Main St
Newbern, TN 38059-1572
Phone (731) 627-0700
Hospital & facility affiliations
- Extendicare Home Health of West TN
- Volunteer Home Care
- Amedisys Home Health Care
- Dyersburg Regional Medical Center
- Jackson-Madison County General Hospital
- Baptist Memorial Hospital Union City
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 |
|---|---|---|---|---|
| I20060411000688 | TN | Practitioner - Nurse Practitioner | 1557370061 | Practice locations: Newbern, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11719 | TN | MD | Dentist |
| 148405 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Care Clinic | Current |
Accepting new patients |
Locations
625 W Main St
Newbern, TN 38059
Phone (731) 627-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 148405 | TN | Yes |
Addresses
Primary practice location
625 W Main St
Newbern, TN 38059-1572
Mailing address
625 W Main St
Newbern, TN 38059-1572
Phone (731) 627-0700
Other providers in Newbern, TN
- Mark Anthony Davis
- Dodds Eyecare, PLC
- Brandon Lee Dodds
- Family Care, P.C.
- Kelly Alexandria Harden
- Lisa Castellaw Hunt
- Patricia B. Keller
- Jane S Lamb
- William W. Lents II
- Ma Davis Enterprises, LLC
All providers in Newbern, 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 Feb 7, 2012. 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.