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

Mr. Charles Wayne Carroll, NP

Individual provider Family Nurse Practitioner · NPI 1043962541

Mr. Charles Wayne Carroll, NP is a Nurse Practitioner in Rogersville, Tennessee. Qualified in 2021, 5 years ago. Practices with Tri-Cities Regional Emergency Physicians, PC, a 118-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

405 Scenic Dr Ste A
Rogersville, TN 37857-2441
Phone: (423) 921-3490
Show map & directions

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

Additional practice locations (7)

  • 2686 W State St, Bristol, TN 37620-1817 — (423) 844-0026
  • 1116 Highway 11 W, Church Hill, TN 37642-3023 — (423) 226-5109
  • 1497 W Elk Ave Ste 11, Elizabethton, TN 37643-2896 — (423) 542-8929
  • 438 E Vann Rd Ste 301, Greeneville, TN 37743-7202 — (423) 636-9828
  • 161 Heart Dr Ste A, Johnson City, TN 37604-2607 — (423) 282-0751
  • 111 W Stone Dr Ste 110, Kingsport, TN 37660-6027 — (423) 224-3701
  • 4600 Fort Henry Dr, Kingsport, TN 37663-2617 — (423) 224-3950

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 30647 (TN)

Record details

NPI number1043962541
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESFebruary 22, 2025
Certification dateFebruary 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tri-Cities Regional Emergency Physicians, Pc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rogersville