MRS. TAMMY E. KEOUGH (FNP) – Family Nurse Practitioner, NPI 1750406658

MRS. TAMMY E. KEOUGH (FNP) is a healthcare provider. based in Millington, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 12400 (TN). The NPI Number for MRS. TAMMY E. KEOUGH (FNP) is 1750406658

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMMY E. KEOUGH (FNP)
NPI
1750406658
Phone
(901) 872-6963
Address
7889 ASTORIA
Enumeration Date
20 March 2007
Last Update Date
18 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012548040
Graduation Year
2006 (20 years ago)
PAC ID
9436257623
Group Practice PAC ID
5799961850
Professional Enrollment ID
I20070612000568
Address ID
TN381193730ME5475XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MRS. TAMMY E. KEOUGH (FNP)

  • 7889 ASTORIA

    MILLINGTON, TN 38053

    Phone: (901) 872-6963

    Fax: (901) 872-6988

    Type: Mailing

  • 930 Magnolia Hills Cv

    Hernando, MS 386326031

    Phone: (901) 647-2585

    Type: Location

  • 3674 Goodman Rd E Ste 9

    Southaven, MS 386726402

    Phone: (662) 890-7747

    Type: Location

  • 103 HALLS CV

    SENATOBIA, MS 386686620

    Phone: (662) 562-9003

    Fax: (662) 562-4007

    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: 2007-06-12

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
I20070612000568INurse 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 38053)

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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: 5799961850View full group profile
NameSpecialtyState
Physician AssistantTN
Family PracticeTN
Physician AssistantTN
Family Practice, Pediatric MedicineMS
Nurse PractitionerTN
Family PracticeTN

Reviews

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Frequently asked questions

What is MRS. TAMMY E. KEOUGH (FNP)'s NPI number?
MRS. TAMMY E. KEOUGH (FNP)'s NPI is 1750406658 — the number used across U.S. healthcare to identify this provider.
Is MRS. TAMMY E. KEOUGH (FNP) still an active registrant?
MRS. TAMMY E. KEOUGH (FNP) carries an active NPI according to the public dataset.
What clinical focus is listed for MRS. TAMMY E. KEOUGH (FNP)?
At a glance, MRS. TAMMY E. KEOUGH (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. TAMMY E. KEOUGH (FNP)?
Travel planning: use Millington, Tennessee as the reference point for MRS. TAMMY E. KEOUGH (FNP), then confirm.
When was this NPI issued?
Enumeration for MRS. TAMMY E. KEOUGH (FNP) is noted as March 20, 2007 where the registry provides it.

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