Active NPI
Julian Howard Fields, MD
- Family Medicine Physician
- Cookeville, TN
National Provider Identifier
1326007113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42748
- Practice address
- 1080 Neal St
Suite 103
Cookeville, TN 38501-0942 - Phone
- (931) 526-3316
- Fax
- (931) 526-3318
- NPI assigned
- Mar 21, 2006
- Last updated
- Jul 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00023125 | AL | |
| Family Medicine Physician | 207Q00000X | 42748 | TN | Primary |
| Family Medicine Physician | 207Q00000X | MD0000042748 | TN |
Addresses
Primary practice location
1080 Neal St
Suite 103
Cookeville, TN 38501-0942
Mailing address
866 E 10TH St
Cookeville, TN 38501-1959
Phone (931) 526-2155
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515245 | Medicaid | TN | |
| 631400173 | Medicaid | AL | |
| 631411173 | Medicaid | AL | |
| 515324154 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42748 | TN | MD | Family Medicine Physician |
| MD0000042748 | TN | MD | Family Medicine Physician |
| 00023125 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pickens County Health Care Authority | Current | Accepting new patients | |
| Hill Hospital of York | Current | Accepting new patients | |
| Hill Hospital of Sumter County | Current | Accepting new patients | |
| Womens Health Services of the Cumberlands, PLLC | Past | Accepting new patients |
Locations
241 Robert K Wilson Dr
Carrollton, AL 35447
Phone (205) 367-2408
751 Derby Dr
York, AL 36925
Phone (205) 392-5263
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- York, AL
- NPI 1437344199
-
dba Senior Care Clinic
- Clinical Psychologist
- Carrollton, AL
- NPI 1225382898
-
- Obstetrics & Gynecology Physician
- Cookeville, TN
- NPI 1609965771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1326007113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "866 E 10TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011959",
"telephone_number": "931-526-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 NEAL ST",
"address_2": "SUITE 103",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385010942",
"telephone_number": "931-526-3316",
"fax_number": "931-526-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "JULIAN",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00023125",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "42748",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000042748",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515245",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631400173",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631411173",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "515324154",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.