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

Mr. Larry Gene Crisp, CFNP

Individual provider Family Nurse Practitioner · NPI 1275693921

Mr. Larry Gene Crisp, CFNP is a Nurse Practitioner in Decatur, Tennessee. Qualified in 2004, 22 years ago. Practices with Restoration Clinic, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2006

Practice location Address checks out

16850 State Highway 58 S Ste A
Decatur, TN 37322-5259
Phone: (423) 334-2300
Show map & directions

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

Additional practice locations (1)

  • 17619 State Highway 58 N Ste C, Decatur, TN 37322-7882 — (423) 334-2300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN 7946 (TN)

Record details

NPI number1275693921
Entity typeIndividual (Type 1)
GenderMale
Credentials CFNP
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address139 County Road 100, Decatur, TN 37322-5005

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Restoration Clinic — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Decatur