Individual provider Active NPI

Christy A Rosser

  • Primary Care Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1942873013
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
29887 Issued in TN
Practice address
1815 Candle Ridge CV
Cordova, TN 38016-5098
Phone
(901) 496-3118
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000227562 TN
Primary Care Nurse Practitioner 363LP2300X 29887 TN Primary

Addresses

Primary practice location

1815 Candle Ridge CV
Cordova, TN 38016-5098

Mailing address

1815 Candle Ridge CV
Cordova, TN 38016-5098
Phone (901) 496-3118

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
I20250728002149 TN Practitioner - Nurse Practitioner 4789191438 Reassigns benefits to 3 organizations
I20260331002144 MS Practitioner - Nurse Practitioner 4789191438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

107 Wheelertown Ave
Pikeville, TN 37367-5246
Phone (423) 447-6811

1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (662) 393-0050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000227562TNMDRegistered Nurse
29887TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC Primary Care CurrentSince Oct 1, 2025 Accepting new patients
Advanced Wound Care LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442

200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771

4968 William Arnold Rd
Memphis, TN 38117
Phone (901) 685-1356

3549 Norriswood Ave
Memphis, TN 38111
Phone (864) 671-0600

107 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-6811

Interoperability endpoints

  • Direct secure messaging: christy.rosser.1@33168.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1942873013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CANDLE RIDGE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165098",
            "telephone_number": "901-496-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CANDLE RIDGE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165098",
            "telephone_number": "901-496-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000227562",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "29887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.