Healthcare Provider Details

I. General information

NPI: 1831996131
Provider Name (Legal Business Name): CODY WILLIAM MEADOWS FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 NASHVILLE PIKE
GALLATIN TN
37066-3110
US

IV. Provider business mailing address

2076 ELK SPRINGS DR
HERMITAGE TN
37076-1668
US

V. Phone/Fax

Practice location:
  • Phone: 615-989-1088
  • Fax:
Mailing address:
  • Phone: 228-861-8843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number38331
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: