Individual provider Active NPI

Doug Winters, NP

  • Family Nurse Practitioner
  • New Tazewell, TN
National Provider Identifier
1972210359
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32325 Issued in TN
Practice address
402 S Broad St
New Tazewell, TN 37825-7239
Phone
(423) 919-8244
Fax
(423) 919-8245
NPI assigned
Nov 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32325 TN Primary

Addresses

Primary practice location

402 S Broad St
New Tazewell, TN 37825-7239

Mailing address

402 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 919-8244

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
I20221111001807 TN Practitioner - Nurse Practitioner 7911374426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

402 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 919-8244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32325TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 13, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 13, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 10, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 10, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

402 S Broad St
New Tazewell, TN 37825
Phone (423) 919-8244

Organizations & group practices 4

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 1

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1972210359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378257239",
            "telephone_number": "423-919-8244",
            "fax_number": "423-919-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378257239",
            "telephone_number": "423-919-8244",
            "fax_number": "423-919-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "DOUG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Tazewell, TN

Sources for this page

Verify at the official NPI Registry.