Individual provider Active NPI

Felix L Fernandez, D.O.

  • Family Medicine Physician
  • Greeneville, TN
National Provider Identifier
1629017397
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2692 Issued in TN
Practice address
1021 Coolidge St Ste 2
Greeneville, TN 37743-4672
Phone
(423) 636-2700
Fax
(423) 232-8573
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8556 FL
Family Medicine Physician 207Q00000X 2692 TN Primary

Addresses

Primary practice location

1021 Coolidge St Ste 2
Greeneville, TN 37743-4672

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 636-2700

Other identifiers 4

IdentifierTypeStateIssuer
266233700MedicaidFL
6023306OtherTNBCBS
GROUP: Q007322MedicaidTN
Q006673MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070430000672 FL Practitioner - Family Practice 4880790393 Reassigns benefits to 1 organization
I20141117000716 TN Practitioner - Family Practice 4880790393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672
Phone (423) 636-2700

Hospital & facility affiliations

  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8556FLMDFamily Medicine Physician
2692TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2016 Accepting new patients
Summit Medical Group, PLLC CurrentSince May 15, 2015 Accepting new patients
Summit Medical Group, PLLC CurrentSince May 15, 2015 Accepting new patients
Agapemd, LLC CurrentSince Oct 1, 2025 Accepting new patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Primary Care Associates PA Family Medicine PastSince Aug 1, 2003 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
St Lucie Medical Center Walk-in Clinic LLC Family Medicine Past Accepting new patients
Nautilus Health Care Group, LLC Past Accepting new patients
State of Franklin Healthcare Associates PLLC PastSince Aug 18, 2019 Accepting new patients

Locations

101425 Overseas Hwy
Key Largo, FL 33037
Phone (305) 240-2561

90130 Old Hwy
Ste 1
Tavernier, FL 33070
Phone (305) 852-9300

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1021 Coolidge St
Ste 2
Greeneville, TN 37743
Phone (423) 636-2300

1406 Tusculum Blvd
Ste 1000
Greeneville, TN 37745
Phone (423) 639-6848

1406 Tusculum Blvd
Ste 1200A
Greeneville, TN 37745
Phone (423) 538-5202

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJHGBD
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1629017397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-636-2700",
            "fax_number": "423-232-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE ST STE 2",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434672",
            "telephone_number": "423-636-2700",
            "fax_number": "423-232-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "FELIX",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8556",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266233700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6023306",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP: Q007322",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006673",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.