Spectrum Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD021619 Issued in TN

Legal business name

SPECTRUM MEDICAL ASSOCIATES

Practice address

2106 N Jackson St
Tullahoma, TN 37388-2208

Phone

(931) 455-2045

Fax

(931) 455-9960

NPI assigned

Oct 3, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard C. Cole, M.D.NPI 1578558441

Title

President

Phone

(931) 455-2045

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Clinton Cole, MD

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1578558441
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Grace Relford

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1295576866
  Medicare reassignment Care Compare group NPD
• Jennifer Archey Shetters, APN

  • Adult Health Nurse Practitioner
  • Tullahoma, TN
  • NPI 1194099358
  Medicare reassignment Care Compare group NPD
• Jennifer Stroop, PA

  • Physician Assistant
  • Tullahoma, TN
  • NPI 1619687340
  Medicare reassignment

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1548458573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882208",
            "telephone_number": "931-455-2045",
            "fax_number": "931-455-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882208",
            "telephone_number": "931-455-2045",
            "fax_number": "931-455-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-455-2045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD021619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "3707865",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather R Sohrabi, OD
• Nader Sohrabi, D.PH.
• Southern Family Markets LLC (Southern Family Market)
• Angela Michelle Sowers, REGISTERED DIETITIAN
• Mark Jan Spaargaren, MA, LPC-MHSP
• Kelli Elaine Spencer, FNP
• Spine Stop Tullahoma, PLLC
• Amber Spry, AGNP-C
• Celesta St. John
• Mary Rebecca Stamps, M.ED.

• Family Medicine Physician in Tullahoma, TN
• Providers in Tullahoma, 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 Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.