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

Tracy Bolton

Individual provider Nurse Practitioner · NPI 1710411368

Tracy Bolton is a Nurse Practitioner in Cookeville, Tennessee. Qualified in 2016, 10 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone: (931) 783-2497
Fax: (931) 783-5666
Show map & directions

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

Additional practice locations (4)

  • 1800 Howell Mill Rd Nw Ste 130, Atlanta, GA 30318-0916 — (404) 425-1777
  • 1365 Clifton Rd Ne Bldg C, Atlanta, GA 30322-0916 — (404) 778-1900
  • 1668 Mulkey Rd Ste A, Austell, GA 30106-1163 — (770) 948-3233
  • 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 — (770) 400-6367

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN229775 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN229775 (GA)

Record details

NPI number1710411368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address206 Magnolia Dr, Douglasville, GA 30134-6609

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cookeville