COURTNEY CARROLL FNP-C
NPI 1972069722
Nurse Practitioner - Family in Gray, TN

Active since February 18, 2019PECOS EnrolledAccepts Medicare Assignment
2103 FOREST DR STE 5, GRAY, TN 37615(423) 794-3142 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2020, Nov 8, 2019, Feb 20, 2019 (3 updates tracked since 2019).

About Courtney Carroll Fnp-c NPPES

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

COURTNEY CARROLL FNP-C (NPI 1972069722) is an individual family provider in Gray, Tennessee, licensed in Tennessee (25120) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2018).

NPPES Registry Identity

NPI1972069722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY CARROLLCredential: FNP-C
Location Address2103 FOREST DR STE 5Gray, TN 37615-8423
Mailing Address1326 Papermill Pointe WayKnoxville, TN 37909-1903 · (865) 673-5000 · Fax (865) 330-6323
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018
Enumeration DateFebruary 18, 2019
Last NPPES UpdateApril 2, 20203 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
NPI 1972069722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 25120
2103 FOREST DR STE 5, Gray, TN 37615

Other Identifiers 1

MedicaidQ046854TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney Carroll Fnp-c 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 ID3072853142
PECOS Enrollment IDI20190327003169
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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 10

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

Physician Assistant
2103 FOREST DR STE 5
GRAY, TN 37615
Clinic/Center (Medical Specialty)
2103 FOREST DR STE 5
GRAY, TN 37615
Nurse Practitioner (Family)
2103 FOREST DR STE 5
GRAY, TN 37615
Nurse Practitioner (Family)
2103 FOREST DR STE 5
GRAY, TN 37615
Nurse Practitioner (Family)
2103 FOREST DR STE 5
GRAY, TN 37615
Physician Assistant
2103 FOREST DR STE 5
GRAY, TN 37615
Clinic/Center (Multi-Specialty)
2103 FOREST DR STE 5
GRAY, TN 37615
Nurse Practitioner (Family)
2103 FOREST DR STE 5
GRAY, TN 37615

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 Courtney Carroll's NPI number?

The NPI number for Courtney Carroll is 1972069722. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Courtney Carroll located?

Courtney Carroll practices at 2103 Forest Dr Ste 5, Gray, TN 37615. The listed phone number is (423) 794-3142.

What is Courtney Carroll's specialty?

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

Is Courtney Carroll enrolled in Medicare?

Yes. Courtney Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Courtney Carroll accept?

Health plans from BlueCross BlueShield of Tennessee list Courtney Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Carroll was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.