Individual provider Active NPI

Robert Lane Tippens, M.D.

  • Family Medicine Physician
  • Franklin, TN
National Provider Identifier
1346552932
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000014803 Issued in TN
Practice address
205 Miller Springs Court
Attn: Cbo
Franklin, TN 37064-5434
Phone
(931) 528-9499
NPI assigned
Jul 12, 2010
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000014803 TN Primary

Addresses

Primary practice location

205 Miller Springs Court
Attn: Cbo
Franklin, TN 37064-5434

Mailing address

1200 Fleet Guard Rd
Cookeville, TN 38506
Phone (931) 528-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000014803TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Tennessee Medical PC Past Accepting new patients
Premise Health of Ohio Medical, P.a Past Accepting new patients

Organizations & group practices 2

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1346552932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FLEET GUARD RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-528-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MILLER SPRINGS COURT",
            "address_2": "ATTN: CBO",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645434",
            "telephone_number": "931-528-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPENS",
        "first_name": "ROBERT",
        "middle_name": "LANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000014803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.