Organization Active NPI

CMC Physician Group

  • Internal Medicine Physician
  • Crossville, TN
National Provider Identifier
1063553824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35554 Issued in TN
Legal business name
CMC PHYSICIAN GROUP
Practice address
133 Hayes St
Crossville, TN 38555-8000
Phone
(931) 456-9434
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angel Suzanne Turner, MD
Title
Physician
Phone
(931) 261-2556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35554 TN Primary

Addresses

Primary practice location

133 Hayes St
Crossville, TN 38555-8000

Mailing address

47 Cross Creek PL Apt Art.11
Crossville, TN 38555-5082
Phone (931) 707-8162

Other names 1

  • Cumberland Medical Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063553824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CROSS CREEK PL APT ART.11",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555082",
            "telephone_number": "931-707-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HAYES ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558000",
            "telephone_number": "931-456-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-261-2556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.