DIABETES MANAGEMENT ASSOCIATES NPI 1750891677

NPI Information

  • NPI: 1750891677
  • Provider Name: DIABETES MANAGEMENT ASSOCIATES
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 44D2137756
  • Address: 401 FIRST AVENUE
    MT. PLEASANT, TN
    ZIP 38474
  • Phone: (931) 325-5560

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NPI Details

DIABETES MANAGEMENT ASSOCIATES is a primary care nurse practitioner in Mt. Pleasant, TN. DIABETES MANAGEMENT ASSOCIATES NPI is 1750891677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 FIRST AVENUE
MT. PLEASANT, TN
ZIP 38474
Phone: (931) 325-5560

The provider's authorized official is Julie Sue Wood .
The authorized official title is Owner and has the following contact phone number (931) 325-5560.

The CLIA number assigned to this NPI record is 44D2137756 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes Educator74273TENNESSEENo
2363LP2300XNurse PractitionerPrimary Care6172TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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