Individual provider Active NPI

Kelly Beth Golden, FNP

  • Nurse Practitioner
  • Winchester, TN
National Provider Identifier
1902939655
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN07935 Issued in TN
Practice address
1894 Cowan Hwy
Suite 2
Winchester, TN 37398-2643
Phone
(931) 962-4040
Fax
(931) 962-2277
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN07935 TN Primary

Addresses

Primary practice location

1894 Cowan Hwy
Suite 2
Winchester, TN 37398-2643

Mailing address

2004 Hayes St
Ste 800
Nashville, TN 37203-2659
Phone (931) 962-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000631 TN Practitioner - Nurse Practitioner 5597858936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

120 Frank Martin
Shelbyville, TN 37160
Phone (931) 680-0602

Hospital & facility affiliations

  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007
  • Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN07935TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC Current Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Oct 13, 2014 Accepting new patients
Tennessee Oncology PLLC CurrentSince Mar 8, 2022 Accepting new patients
Amg Southern Tennessee LLC CurrentSince Oct 13, 2014 Accepting new patients
Apogee Medical Group Tennessee PC CurrentSince Jan 2, 2017 Accepting new patients
Huntland Clinic, PLLC PastSince Jul 1, 2010 Accepting new patients
Pinnacle Internal Medicine PLLC PastSince May 1, 2012 Accepting new patients

Locations

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

120 Frank Martin Rd
Shelbyville, TN 37160
Phone (931) 680-0602

120 Frank Martin Rd
Ste 102
Shelbyville, TN 37160
Phone (931) 680-0602

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

55 Sunrise Park
Winchester, TN 37398
Phone (931) 962-2272

1894 Cowan Hwy
Ste 2
Winchester, TN 37398
Phone (931) 962-4040

134 Hospital Rd
Winchester, TN 37398
Phone (931) 598-5691

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1902939655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST",
            "address_2": "STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "931-962-4040",
            "fax_number": "931-962-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 COWAN HWY",
            "address_2": "SUITE 2",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982643",
            "telephone_number": "931-962-4040",
            "fax_number": "931-962-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KELLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN07935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.