Active NPI
Internal Medicine Specalists of Middle Tennessee
- Internal Medicine Physician
- Winchester, TN
National Provider Identifier
1497942569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723665 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031203000653 | TN | Part B Supplier - Clinic/Group Practice | 9739084773 |
Receives reassigned benefits from 1 practitioner Practice locations: Winchester, TN |
National Provider Directory
National Provider DirectoryLocations
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.