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

Thomas Daniel Shirley

Individual provider Family Nurse Practitioner · NPI 1609218569

Thomas Daniel Shirley is a Nurse Practitioner in Seymour, Tennessee. Qualified in 2013, 13 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013

Practice location Address checks out

11546 Chapman Hwy
Seymour, TN 37865-5044
Phone: (865) 578-5080
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 17807 (TN)

Record details

NPI number1609218569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2013
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing address117 Vera Ln, Dandridge, TN 37725-6872

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Seymour