Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Anne Averett, FNPC

Individual provider Primary Care Nurse Practitioner · NPI 1780143297

Kaitlyn Anne Averett, FNPC is a Nurse Practitioner in Waynesboro, Tennessee. Qualified in 2018, 8 years ago. Practices with Hallmedical Clinic LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

107 Jv Mangubat Dr
Waynesboro, TN 38485-2440
Phone: (931) 722-2800
Fax: (931) 722-9627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25512 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APN25512 (TN)

Record details

NPI number1780143297
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPC
Sole proprietorNo
NPI enumeratedMarch 14, 2019
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hallmedical Clinic Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount