Provider Demographics
NPI:1659484897
Name:POWERS, CAREY BATEMAN (NP)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:BATEMAN
Last Name:POWERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CAREY
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:854 W JAMES CAMPBELL BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4659
Mailing Address - Country:US
Mailing Address - Phone:931-540-4255
Mailing Address - Fax:931-490-4654
Practice Address - Street 1:854 W JAMES CAMPBELL BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4659
Practice Address - Country:US
Practice Address - Phone:931-388-8779
Practice Address - Fax:931-540-0518
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN39021971Medicaid
TN3902197Medicaid
TN4108976OtherBCBSTN
TN3710087Medicaid
TN3710089Medicaid
TN39021971Medicaid
TN3710089Medicaid
TNP00349312Medicare PIN
TN4108976OtherBCBSTN
TNS80975Medicare UPIN
TN3710089Medicare PIN
TN3902197Medicaid