Organization Active NPI

Internal Medicine Specalists of Middle Tennessee

  • Internal Medicine Physician
  • Winchester, TN
National Provider Identifier
1497942569
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11958 Issued in TN
Legal business name
INTERNAL MEDICINE SPECALISTS OF MIDDLE TENNESSEE
Practice address
186 Hospital Rd
Suite 500
Winchester, TN 37398-2472
Phone
(931) 967-5646
Fax
(931) 967-9082
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
James G Stensby, MD
Title
Owenr
Phone
(931) 967-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11958 TN Primary

Addresses

Primary practice location

186 Hospital Rd
Suite 500
Winchester, TN 37398-2472

Mailing address

186 Hospital Rd
Suite 500
Winchester, TN 37398-2472
Phone (931) 967-5646

Other identifiers 1

IdentifierTypeStateIssuer
3723665MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000653 TN Part B Supplier - Clinic/Group Practice 9739084773 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, TN

National Provider Directory

National Provider Directory

Locations

186 Hospital Rd
Ste 500
Winchester, TN 37398
Phone (615) 967-5646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1497942569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL RD",
            "address_2": "SUITE 500",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982472",
            "telephone_number": "931-967-5646",
            "fax_number": "931-967-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL RD",
            "address_2": "SUITE 500",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982472",
            "telephone_number": "931-967-5646",
            "fax_number": "931-967-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECALISTS OF MIDDLE TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "STENSBY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "931-967-5646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "11958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.