NICOLE MEADOWS – Clinical Social Worker, NPI 1902212079

NICOLE MEADOWS is a healthcare provider. based in Lynnville, Tennessee. specializing in CLINICAL SOCIAL WORKER. They hold a License No. LCSW 6149 (TN). The NPI Number for NICOLE MEADOWS is 1902212079

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MEADOWS
NPI
1902212079
Phone
(931) 347-7321
Address
2037 PETTY HOLLOW N RD
Enumeration Date
9 July 2014
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9313477321
Graduation Year
2012 (14 years ago)
PAC ID
7416267646
Professional Enrollment ID
I20151030000805
Address ID
TN384725544LY2037XNXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

829 CLINICAL SOCIAL WORKER in TN

Provider Addresses for NICOLE MEADOWS

  • 2037 PETTY HOLLOW N RD

    LYNNVILLE, TN 384725544

    Phone: (931) 347-7321

    Type: Mailing

  • 1020E COLLEGE ST

    PULASKI, TN 384784547

    Phone: (931) 347-7321

    Type: Location

  • 2037 PETTY HOLLOW RD N

    LYNNVILLE, TN 384725544

    Phone: (931) 347-7321

    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: 2015-10-30

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
I20151030000805IClinical Social WorkerTNTBD

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 38472)

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Reviews

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Frequently asked questions

What federal number belongs to NICOLE MEADOWS?
The federal identifier for NICOLE MEADOWS is NPI 1902212079.
Is NICOLE MEADOWS's NPI currently valid?
The extract we use shows NICOLE MEADOWS as active.
Does NICOLE MEADOWS list a primary specialty?
If you are matching referrals, note Clinical Social Worker for NICOLE MEADOWS. Clinical services aligned with this taxonomy classification.
Where does public data place NICOLE MEADOWS?
The snapshot lists Lynnville, Tennessee for NICOLE MEADOWS; download NPPES for the complete set.
Is NICOLE MEADOWS a real provider?
This page reflects official NPPES data for NPI 1902212079. Always confirm identity and privileges with the practice and licensing boards.

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