Jeffry Alan Belknap, M.D.
Individual provider Active NPI Internal Medicine Physician · Sparta, TN
NPI 1407920127 · NPPES record last updated Jun 21, 2011
Key facts
- NPI
- 1407920127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 09444 (TN)
- Practice address
- 809 W Bockman Way
Sparta, TN 38583 - Phone
- (931) 607-6299
- Fax
- (931) 836-3119
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09444 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Physician Services Inc | Internal Medicine | Past | Accepting new patients |
| Karing Hearts Cardiology, PLLC | Past | Accepting new patients | |
| Medical Care LLC | Past | Accepting new patients | |
| White County Physician Services LLC | Internal Medicine | Past |
Accepting new patients |
| Cumberland River Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 09444 | TN | Yes |
Addresses
Primary practice location
809 W Bockman Way
Sparta, TN 38583
Mailing address
809 W Bockman Way
Sparta, TN 38583
Phone (931) 607-6299
Other providers in Sparta, TN
- Allied Home Medical Inc
- Jonathan David Allmon
- Justin Colby Arms
- Robert Francis Baker Jr.
- James Clinton Barlow
- Teresa Benson
- Vanessa Betancourt
- Birch Tree Pediatric Therapy, PLLC
- Heather Blaney
- Maranda Darline Blaylock
All providers in Sparta, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.