Active NPI
Michael Dean Littell, DO
- Family Medicine Physician
- Portland, TN
National Provider Identifier
1023084001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO 711
- Practice address
- 700 S Broadway
Portland, TN 37148-1625 - Phone
- (615) 325-3100
- Fax
- (615) 325-0076
- NPI assigned
- Feb 28, 2006
- Last updated
- Jan 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO 711 | TN | Primary |
Addresses
Primary practice location
700 S Broadway
Portland, TN 37148-1625
Mailing address
708A N Russell St
Portland, TN 37148-2073
Phone (615) 325-5760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3301754 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711 | TN | MD | Specialist |
| DO 711 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D. Littell, D.O., PC | Family Medicine | Past | Accepting new patients |
| Sumner Physician Practices LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Portland, TN
- NPI 1134277338
-
dba HighPoint Vascular & Vein Associates
- Vascular Surgery Physician
- Gallatin, TN
- NPI 1871002055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1023084001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708A N RUSSELL ST",
"city": "PORTLAND",
"state": "TN",
"postal_code": "371482073",
"telephone_number": "615-325-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S BROADWAY",
"city": "PORTLAND",
"state": "TN",
"postal_code": "371481625",
"telephone_number": "615-325-3100",
"fax_number": "615-325-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTELL",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO 711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3301754",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TN
- Timothy C Kuntz, P.A.
- Ashlea B Lamberth, NP
- Stacy Lane, FNP
- Louis Albert Lee, PT, DPT
- Kristie Lenard, MSN, FNP-C
- LP Portland, LLC (Signature HealthCARE of Portland Rehab & Wellness Center)
- Lu Ponce MD PC
- Main Street Family Practice Inc
- Manley Counseling and Consulting PLLC
- Kristinna Marie Marowski, LPC/QMHP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.