Active NPI
Joel L. Fine, MD
- Internal Medicine Physician
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 55991
- Practice address
- 1057 Vaughn Crest Dr
Franklin, TN 37069-7212 - Phone
- (770) 309-8656
- NPI assigned
- Aug 11, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 039791 | GA | |
| Internal Medicine Physician | 207R00000X | 55991 | TN | Primary |
Addresses
Primary practice location
1057 Vaughn Crest Dr
Franklin, TN 37069-7212
Mailing address
1057 Vaughn Crest Dr
Franklin, TN 37069-7212
Phone (770) 309-8656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | TN | MEDICARE |
| PENDING | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Georgia School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Greg Kruschek Ave
Room B306
Nome, AK 99762-0966
PO Box
Suite 966
Nome, AK 99762-0966
Hospital & facility affiliations
- Norton Sound Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| Ketchikan Indian Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Thoreau Clinic | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients |
Locations
2960 Tongass Ave
Ketchikan, AK 99901
Phone (907) 228-4900
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1083616833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 VAUGHN CREST DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370697212",
"telephone_number": "770-309-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 VAUGHN CREST DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370697212",
"telephone_number": "770-309-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JOEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "039791",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "55991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PENDING",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.