Organization Active NPI

Charles T Wolohon MD PC

  • Internal Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1013276963
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-024804 Issued in TN
Legal business name
CHARLES T WOLOHON MD PC
Practice address
1632 Gateway Blvd Ste 103
Murfreesboro, TN 37129-4582
Phone
(615) 849-4006
Fax
(615) 895-0975
NPI assigned
May 14, 2012
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lily Delatte, MDNPI 1689935082
Title
Owner
Phone
(615) 849-4006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD-024804 TN Primary

Addresses

Primary practice location

1632 Gateway Blvd Ste 103
Murfreesboro, TN 37129-4582

Mailing address

1632 Gateway Blvd Ste 103
Murfreesboro, TN 37129-4582
Phone (615) 849-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626000550 TN Part B Supplier - Clinic/Group Practice 8527570381 Receives reassigned benefits from 3 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

1608 Williams Dr
Ste 202
Murfreesboro, TN 37129
Phone (615) 656-3045

1632 Gateway Blvd
Ste 103
Murfreesboro, TN 37129
Phone (615) 849-4006

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1013276963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 GATEWAY BLVD STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294582",
            "telephone_number": "615-849-4006",
            "fax_number": "615-895-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 GATEWAY BLVD STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294582",
            "telephone_number": "615-849-4006",
            "fax_number": "615-895-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T WOLOHON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-849-4006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD-024804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.