TAMMY RUDDLE – Psychiatric/Mental Health Nurse Practitioner, NPI 1265822571

TAMMY RUDDLE is a healthcare provider. based in Savannah, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 30383 (TN). The NPI Number for TAMMY RUDDLE is 1265822571

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TAMMY RUDDLE
NPI
1265822571
Phone
(731) 925-8879
Address
175 ENOCH BLVD
Enumeration Date
26 January 2015
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7319252300
Graduation Year
2025 (1 year ago)
PAC ID
4880108703
Group Practice PAC ID
3779490776
Professional Enrollment ID
I20250710002695
Address ID
TN383722240SA175XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for TAMMY RUDDLE

  • 175 ENOCH BLVD

    SAVANNAH, TN 383722240

    Phone: (731) 925-8879

    Fax: (731) 926-8978

    Type: Mailing

  • 1909 HAMPSHIRE PIKE

    COLUMBIA, TN 384015650

    Phone: (931) 388-5757

    Fax: (931) 560-1119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250710002695INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38372)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779490776View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
Family PracticeAL
Clinical Social WorkerMS
Nurse PractitionerTN
Nurse PractitionerTN
Emergency MedicineTN
Nurse PractitionerTN
Mental Health CounselorTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does TAMMY RUDDLE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TAMMY RUDDLE uses 1265822571.
Is TAMMY RUDDLE listed as active for patients and plans?
The listing shows TAMMY RUDDLE as active in the NPI system.
What taxonomy line describes TAMMY RUDDLE?
For research purposes, treat TAMMY RUDDLE as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does TAMMY RUDDLE list a practice location?
Patients near Savannah, Tennessee may find TAMMY RUDDLE in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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