Charles S. Drummond III, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD39435 Issued in TN

Practice address

315 NW Atlantic St
Tullahoma, TN 37388-3566

Phone

(931) 841-3948

Fax

(931) 841-3906

NPI assigned

Jul 12, 2006

Last updated

Oct 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Charles S. Drummond III Professional name

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

Specialty

Vascular SurgeryAlso: Thoracic Surgery

Education

Virginia Commonwealth University, School of Medicine, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Coffee Medical Group LLCGroup PAC ID 1850208794, 22 clinicians

Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

GK Healthcare Solutions LLCGroup PAC ID 9931629979, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Medical Center Hospital, Manchester, TN, CCN 440007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.drummond@mcrhc.eclinicaldirectplus.com

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.

• Coffee Medical Group LLC

  dba Unity Medical Center

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179
  Medicare reassignment Care Compare group NPD
• GK Healthcare Solutions, LLC

  dba Optima Advanced Healing

  • Physician Assistant
  • Nolensville, TN
  • NPI 1699590661
  Medicare reassignment Care Compare group NPD
• Tennessee Vascular and Thoracic Surgical Associates, PC

  • Specialist
  • Tullahoma, TN
  • NPI 1093263055
  Medicare reassignment NPD Authorized official
• Coffee Medical Group LLC

  dba Center for Family Medicine

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  Care Compare group
• Coffee Medical Group LLC

  dba Manchester Rural Health Clinic

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1043537046
  NPD
• Daniel Calhoun Jr MD LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Newport News, VA
  • NPI 1225244064
  NPD (past)
• Riverside Physician Services Inc

  dba Riverside Gastroenterology Specialists Williamsburg

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1083867311
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffee Medical Group LLC

  dba Unity Medical Center

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1609891803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-841-3948",
            "fax_number": "931-841-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NW ATLANTIC ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883566",
            "telephone_number": "931-841-3948",
            "fax_number": "931-841-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "CHARLES",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD39435",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "39435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7468194",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF TENNESSEE",
            "identifier": "4105344",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "DRUMMOND",
            "middle_name": "S.",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Vascular Surgery Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.

Verify at the official NPI Registry.