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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HERITAGE MEDICAL CARE
NPI 1184549693
Nurse Practitioner - Primary Care in Sparta, TN

Active since August 12, 2026
521 BEN LOMAND DR STE B, SPARTA, TN 38583(931) 265-4292 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Medical Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE MEDICAL CARE (NPI 1184549693) is a healthcare organization registered as a primary care in Sparta, Tennessee and active in the NPI registry since August 2026. The organization lists Kimberly Dawn Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1184549693
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHERITAGE MEDICAL CARE
Location Address521 BEN LOMAND DR STE BSparta, TN 38583-1592
Mailing Address521 Ben Lomand Dr Ste BSparta, TN 38583-1592 · (931) 265-4292
Phone(931) 265-4292
Organization SubpartNo
Authorized OfficialKimberly Dawn WagnerOwner · (931) 265-4292
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1184549693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
521 BEN LOMAND DR STE B, Sparta, TN 38583
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Medical Care's NPI number?

The NPI number for Heritage Medical Care is 1184549693. It was assigned to this organization in the NPPES registry on August 12, 2026.

Where is Heritage Medical Care located?

Heritage Medical Care is located at 521 Ben Lomand Dr Ste B, Sparta, TN 38583. The listed phone number is (931) 265-4292.

What is Heritage Medical Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Heritage Medical Care was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.