Rickey Wade Garner Jr.
Individual provider Active NPI Family Nurse Practitioner · Clinton, TN
NPI 1982590782 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1982590782
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 38981 (TN)
- Practice address
- 110 Executive Park Dr
Clinton, TN 37716-6876 - Phone
- (865) 494-9241
- NPI assigned
- Jun 17, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Group Inc
Practice addresses (Care Compare)
102 S Charles G Seivers Blvd
Clinton, TN 37716-3916
Phone (865) 457-4702
Hospital & facility affiliations
- Methodist Medical Center of Oak Ridge
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 |
|---|---|---|---|---|
| I20250806000988 | TN | Practitioner - Nurse Practitioner | 6305354606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current |
Accepting new patients | |
| Covenant Medical Group, Inc. | Current |
Accepting new patients | |
| Crossville Medical Group PA | Past |
Accepting new patients |
Locations
102 S Seivers Blvd
Clinton, TN 37716
Phone (865) 457-4702
110 Executive Park Dr
Clinton, TN 37716
Phone (865) 494-9241
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Interoperability endpoints
- garner.rickey.wade@covenanthealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 38981 | TN | |
| Family Nurse Practitioner | 363LF0000X | 38981 | TN | Yes |
Addresses
Primary practice location
110 Executive Park Dr
Clinton, TN 37716-6876
Mailing address
110 Executive Park Dr
Clinton, TN 37716-6876
Phone (865) 494-9241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q105227 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | garner.rickey.wade@covenanthealth.cernerdirect.com |
Other providers in Clinton, TN
- Meredith B Fawver
- Joe Benny Fincher
- Elizabeth Fine
- Alison Foister
- Lori Miranda Fox
- Cyndi Morgan Garrigan
- Gem Neurology PLLC
- Matthew Vernon Gent
- Nathan Gibson
- Jamie Mitchell Giles
All providers in Clinton, 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 15, 2025. 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.