Active NPI
Corey Fussell, M.D.
- Family Medicine Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82311
- Practice address
- 200 New York Ave Ste 150
Oak Ridge, TN 37830-5227 - Phone
- (865) 835-5850
- Fax
- (865) 374-1115
- NPI assigned
- May 26, 2016
- Last updated
- Mar 5, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 76469 | TN | |
| Family Medicine Physician | 207Q00000X | 82311 | GA | Primary |
Addresses
Primary practice location
200 New York Ave Ste 150
Oak Ridge, TN 37830-5227
Mailing address
200 New York Ave Ste 150
Oak Ridge, TN 37830-5227
Phone (865) 835-5850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q042768 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fussell.corey.carter@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
117 Harmony Xing
Suite 1
Eatonton, GA 31024-9548
Phone (762) 320-2100
200 New York Ave
Suite 150
Oak Ridge, TN 37830-5227
Phone (865) 835-5850
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82311 | GA | MD | Family Medicine Physician |
| 76469 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Upson Family Physicians, LC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Archwell Health Medical of Florida, LLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Healthy Ever After, Inc | Past | Accepting new patients | |
| Upson Medical Associates LLC | Family Medicine | Past | Accepting new patients |
Locations
880 49th St N
St Petersburg, FL 33710
Phone (727) 405-7188
543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002
3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (770) 680-1473
117 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (706) 485-4004
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362
915 W Gordon St
#B
Thomaston, GA 30286
Phone (706) 647-7009
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
200 New York Ave
Ste 150
Oak Ridge, TN 37830
Phone (865) 481-0200
Interoperability endpoints
- corey.fussell.1@8042.direct.athenahealth.com
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
Family Medicine
-
- Family Medicine Physician
- Thomaston, GA
- NPI 1083842918
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Internal Medicine Physician
- Venice, FL
- NPI 1497453450
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Family Medicine
-
- Family Nurse Practitioner
- Griffin, GA
- NPI 1285988550
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Peachtree City, GA
- NPI 1730119538
-
dba Atrium Health Navicent Baldwin
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
dba Putnam General Hospital
- Critical Access Hospital
- Eatonton, GA
- NPI 1386670834
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
-
dba WellStar Spalding Regional Hospital
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1497103824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NEW YORK AVE STE 150",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305227",
"telephone_number": "865-835-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEW YORK AVE STE 150",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305227",
"telephone_number": "865-835-5850",
"fax_number": "865-374-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSSELL",
"first_name": "COREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-26",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "76469",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "82311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q042768",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fussell.corey.carter@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "200 New York Ave Ste 150",
"city": "Oak Ridge",
"state": "TN",
"country_code": "US",
"postal_code": "378305227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.