Individual provider Active NPI

Julian Howard Fields, MD

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1326007113
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42748 Issued in TN
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1515245MedicaidTN
631400173MedicaidAL
631411173MedicaidAL
515324154OtherALBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210001147 AL Practitioner - Emergency Medicine 2062466113 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42748TNMDFamily Medicine Physician
MD0000042748TNMDFamily Medicine Physician
00023125ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pickens County Health Care Authority Current Accepting new patients
Hill Hospital of York CurrentSince Nov 4, 2022 Accepting new patients
Hill Hospital of Sumter County CurrentSince Nov 4, 2022 Accepting new patients
Womens Health Services of the Cumberlands, PLLC PastSince Jul 15, 2002 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.

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

Verify at the official NPI Registry.