TRACY BOLTON
NPI 1710411368
Nurse Practitioner - Family in Cookeville, TN

Q: What is Tracy Bolton's NPI number?

The NPI number for Tracy Bolton is 1710411368. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Q: What is Tracy Bolton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Bolton was last updated on June 27, 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.

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501(931) 783-2497(931) 783-5666 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2024, Oct 10, 2023, May 12, 2022 and 3 more (6 updates tracked since 2017).

On this page

About Tracy Bolton NPPES

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

TRACY BOLTON (NPI 1710411368) is an individual family provider in Cookeville, Tennessee, licensed in Georgia (RN229775) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710411368

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACY BOLTON

Location Address1 MEDICAL CENTER BLVDCookeville, TN 38501-4294

Mailing Address206 Magnolia DrDouglasville, GA 30134-6609 · (404) 200-7585

Phone(931) 783-2497

Fax(931) 783-5666

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 19, 2017

Last NPPES UpdateJune 27, 20246 updates tracked since enumeration

NPPES CertifiedJune 27, 2024

✔ NPI 1710411368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN229775

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN229775 (GA)

1 MEDICAL CENTER BLVD, Cookeville, TN 38501

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11800 Howell Mill Rd NW Ste 130Atlanta, GA 30318-0916 · Phone (404) 425-1777

Location 2600 Celebrate Life PkwyNewnan, GA 30265-8001 · Phone (770) 400-6367

Location 31365 Clifton Rd NE Bldg CAtlanta, GA 30322-0916 · Phone (404) 778-1900

Location 41668 Mulkey Rd Ste AAustell, GA 30106-1163 · Phone (770) 948-3233 · Fax (770) 944-1537

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Bolton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113295817

PECOS Enrollment IDI20170621003006

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tracy Bolton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cookeville Regional Medical Center

Same address

Hospitalist

1 MEDICAL CENTER BLVD
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
151 clinicians in this Medicare group

NPI 1023397031 (931) 783-5857

Wellstar Medical Group, LLC

142 mi

Family Medicine

12 MEDICAL DR NE
Cartersville, GA 30121

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1588059653 (770) 386-1000

Nsh Cancer Institute Professional Services G, LLC

169 mi

Hematology & Oncology

1100 JOHNSON FERRY RD NE, SUITE 600
Sandy Springs, GA 30342

Reassigned Medicare billing, Georgia enrollment
163 clinicians in this Medicare group

NPI 1144571381 (404) 256-4777

City Of Hope Medical Group Of Georgia LLC

197 mi

Internal Medicine

600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265

Reassigned Medicare billing, Georgia enrollment
448 clinicians in this Medicare group

NPI 1447520333 (847) 746-4333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

128 services108 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services83 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

73 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANNY J STRANGE MD

Anesthesiology