Active NPI
Alan Ross Drake, M.D.
- Family Medicine Physician
- Sparta, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000016257
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3014532 | Medicaid | TN | |
| 10075887 | Medicaid | SD | |
| 2001672 | Other | TN | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16257 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Family Medicine | Current | Accepting new patients | |
| White County Physician Services LLC | Family Medicine | Past | 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
- 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.
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1417950122
Family Medicine
-
- Family Medicine Physician
- Sparta, TN
- NPI 1922332428
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.