Individual provider Active NPI

Leroy Thomas Calfee

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1174974182
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21318 Issued in TN
Practice address
2850 Westside Dr NW Ste A2
Cleveland, TN 37312-3503
Phone
(423) 564-8018
Fax
(423) 674-3474
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21318 TN Primary

Addresses

Primary practice location

2850 Westside Dr NW Ste A2
Cleveland, TN 37312-3503

Mailing address

2850 Westside Dr NW Ste A2
Cleveland, TN 37312-3503
Phone (423) 564-8018

Other names 1

  • Leroy Thomas Calfee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250212001345 TN Order and Referring Only - General PracticePractitioner - General Practice 2567759129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Direct Primary Care CurrentSince Feb 23, 2025 Accepting new patients

Locations

2850 Westside Dr NW
Ste A2
Cleveland, TN 37312
Phone (423) 564-8018

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1174974182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WESTSIDE DR NW STE A2",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123503",
            "telephone_number": "423-564-8018",
            "fax_number": "423-674-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WESTSIDE DR NW STE A2",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123503",
            "telephone_number": "423-564-8018",
            "fax_number": "423-674-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALFEE",
        "first_name": "LEROY",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEROY",
            "last_name": "CALFEE",
            "middle_name": "THOMAS",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.