1. Home
  2. Directory
  3. Tennessee
  4. Maryville
  5. Peer Specialist
  6. NPI Profile

JORDAN DABNEY WOMACK
NPI 1558110486
Peer Specialist in Maryville, TN

Active since May 14, 2024
2739 E BROADWAY AVE, MARYVILLE, TN 37804(601) 862-1126 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Dabney Womack NPPES

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

JORDAN DABNEY WOMACK (NPI 1558110486) is an individual peer specialist in Maryville, Tennessee and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1558110486
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJORDAN DABNEY WOMACK
Location Address2739 E BROADWAY AVEMaryville, TN 37804-2556
Mailing Address2739 E Broadway AveMaryville, TN 37804-2556 · (601) 862-1126
Phone(601) 862-1126
Sole ProprietorNo
Enumeration DateMay 14, 2024
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1558110486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2739 E BROADWAY AVE, Maryville, TN 37804
Open in Google Maps ↗

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 Jordan Womack's NPI number?

The NPI number for Jordan Womack is 1558110486. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Jordan Womack located?

Jordan Womack practices at 2739 E Broadway Ave, Maryville, TN 37804. The listed phone number is (601) 862-1126.

What is Jordan Womack's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jordan Womack was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.