Individual provider Active NPI

Alan Ross Drake, M.D.

  • Family Medicine Physician
  • Sparta, TN
National Provider Identifier
1295730281
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000016257 Issued in TN
Practice address
287 W Turn Table Rd
Sparta, TN 38583-1366
Phone
(931) 836-3262
Fax
(931) 836-3269
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000016257 TN Primary
Hospitalist Physician 208M00000X 16257 TN

Addresses

Primary practice location

287 W Turn Table Rd
Sparta, TN 38583-1366

Mailing address

2300 Monterey Hwy
Sparta, TN 38583-7600
Phone (931) 738-8028

Other identifiers 3

IdentifierTypeStateIssuer
3014532MedicaidTN
10075887MedicaidSD
2001672OtherTNBLUE CROSS ID #

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
I20100517000081 TN Practitioner - Family Practice 3173610888 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Sparta, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Providence Family Medicine 2 clinicians

Practice addresses (Care Compare)

287 W Turn Table Rd
Sparta, TN 38583-1366
Phone (931) 836-3262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16257TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
White County Physician Services LLC Family Medicine PastSince Dec 1, 2014 Accepting new patients
White County Physician Services Inc Family Medicine Past Accepting new patients

Locations

287 W Turn Table Rd
Sparta, TN 38583
Phone (931) 738-2000

133 Churchill Dr
Sparta, TN 38583
Phone (931) 836-3115

Interoperability endpoints

  • Direct secure messaging: hmcrpu9548@yourcarecommunity.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1295730281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MONTEREY HWY",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385837600",
            "telephone_number": "931-738-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 W TURN TABLE RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831366",
            "telephone_number": "931-836-3262",
            "fax_number": "931-836-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ALAN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000016257",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "16257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014532",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10075887",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "2001672",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.