Individual provider Active NPI

Joel L. Fine, MD

  • Internal Medicine Physician
  • Franklin, TN
National Provider Identifier
1083616833
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55991 Issued in TN
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

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGOtherTNMEDICARE
PENDINGMedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, AK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170808001033 TN Practitioner - Internal Medicine 4688564024
I20230731001899 TX Practitioner - Internal Medicine 4688564024 Reassigns benefits to 2 organizations
I20251008004412 AK Practitioner - Internal Medicine 4688564024 Reassigns benefits to 2 organizations

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 Hospital, Nome, AK, CCN 021308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Aug 18, 2025 Accepting new patients
Pueblo Pintado Clinic CurrentSince Jul 3, 2023 Accepting new patients
Ketchikan Indian Corporation CurrentSince Dec 1, 2024 Accepting new patients
Norton Sound Health Corporation CurrentSince Aug 18, 2025 Accepting new patients
Thoreau Clinic CurrentSince Jul 3, 2023 Accepting new patients
Norton Sound Health Corporation CurrentSince Aug 18, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.