Miriam B Tedder, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD10022 Issued in TN

Practice address

525A Devonia St
Harriman, TN 37748-2116

Phone

(865) 882-5701

Fax

(865) 882-2568

NPI assigned

Oct 6, 2005

Last updated

Apr 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1609863422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525A DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482116",
            "telephone_number": "865-882-5701",
            "fax_number": "865-882-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525A DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482116",
            "telephone_number": "865-882-5701",
            "fax_number": "865-882-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "MIRIAM",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD10022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169090",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Group, PLLC (Tennessee Eye Care, a division of Summit Medical Group)
• Sunbridge of Harriman LLC (Renaissance Terrace Care and Rehabilitation Center)
• Amber Swymer, LMSW
• Paul William Tappan, OD
• Michael Chance Tedder, FNP-C
• Tennessee Cancer Specialists PLLC
• Tennessee Cancer Specialists, PLLC
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #03740)
• Terry M. Bingham, MD, PC
• The Wound Practitioner, LLC

• Family Medicine Physician in Harriman, TN
• Providers in Harriman, 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 Apr 28, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.