Fallen Leaf Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FALLEN LEAF MEDICAL

Practice address

10820 Kingston Pike Ste 22
Knoxville, TN 37934-3065

Phone

(865) 549-0750

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Michael Radford Moore, MD

Title

Owner

Phone

(865) 549-0750

Specialties & licenses 1

Addresses

Other names 1

• Fallen Leaf Medical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1376330696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 KINGSTON PIKE STE 22",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343065",
            "telephone_number": "865-549-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 KINGSTON PIKE STE 22",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343065",
            "telephone_number": "865-549-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLEN LEAF MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-549-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallen Leaf Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Eileen Fairbanks, MS PSYCHOLOGY, RBT
• Julia Lynn Fairchild
• Rebecca Jo Fairchild, LPN
• Elissa Falconer, M.D.
• Diye Fall
• Donna C Fallis, MS RD LDN
• Families First Medical Group
• Families First Medical Group, PC
• Family Care of East TN, PLLC
• Family Dynamics Behavioral Health LLC

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.