Guy Franklin Fain III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD14797 Issued in TN

Practice address

10 Prentice LN
Signal Mountain, TN 37377-2037

Phone

(423) 605-0629

Fax

(423) 517-0017

NPI assigned

Jun 30, 2006

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Winchester With Ascension Saint Thomas

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD
• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1184653453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PRENTICE LN",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772037",
            "telephone_number": "423-605-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRENTICE LN",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772037",
            "telephone_number": "423-605-0629",
            "fax_number": "423-517-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIN",
        "first_name": "GUY",
        "middle_name": "FRANKLIN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD14797",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD14797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00201541",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000614083B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001404",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001403",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "3133610",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4150076",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Ashley Wyatt Dyess, DPT
• Sara Angela Emanuel, RN
• John English
• Jessica Louise Everett, RN
• Whitney Danielle Fagio, APRN
• Family Medical Therapies, PLLC (Balanced Life MD)
• Foot Essentials LLC
• Kimberly Fortney
• Freedom Medical Services PLLC (Freedom Medical Services TN)
• Kimberly Holliday Fugate

• Family Medicine Physician in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.