Afc Physicians of Tennessee, PC
Organization Active NPI General Practice Physician · Knoxville, TN
NPI 1649647249 · NPPES record last updated Jun 12, 2020
Key facts
- NPI
- 1649647249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- AFC PHYSICIANS OF TENNESSEE, PC
- Practice address
- 9203 Kingston Pike
Knoxville, TN 37922-2318 - Phone
- (865) 299-6192
- Fax
- (865) 299-6196
- NPI assigned
- Aug 31, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- AFC PHYSICIANS OF TENNESSEE, PC
Authorized official
- Name
- Mr. Randy Johansen
- Title
- President
- Phone
- (205) 421-2101
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 6
Practitioners 110
-
Brandon D. Allen, M.D.
-
David Ryan Ambrosetti, D.O.
-
Sylvia Ifeyinwa Anunobi, MD, MSPH, JD
-
Alanna Lumar Beane, M.D.
-
Vivak S. Bhatt, MD
-
Steven Casey Boring, FNP
-
Joshua L. Carmack, APN
-
Chayla M Chasten, M.D.
-
Vandana P Chowbey, M.D.
-
Rebecca Louise Cleere, MBBS
-
Jose Carlos Cruz, RN
-
Sadia Majid Dar, MD
-
Michael H. De Boer, M.D.
-
Stacey Dill, FNP-BC
-
Jennifer Ann Dubois, FAMILY NURSE PRACT
-
Daniel Fox, FNP-C
-
Christopher Garen, MSN, FNP-C
-
Jennifer Garey, MSN FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2100570 | American Family Care-Cedar Bluff | Certificate of waiver | Aug 29, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110128000880 | TN | Part B Supplier - Clinic/Group Practice | 5395924823 |
Receives reassigned benefits from 114 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Knoxville, TN; Spring Hill, TN; Smyrna, TN; Nashville, TN; Hendersonville, TN; Clarksville, TN; Chattanooga, TN; Mt. Juliet, TN… |
National Provider Directory
- Tax ID family
- Afc Physicians of Tennessee
- Part of
- Afc Physicians of Tennessee
Locations
291 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 265-5008
355 Pleasant Grove Rd
Ste 1400
Mt Juliet, TN 37122
Phone (615) 773-7933
985 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-8500
900 Grammer Ln
Ste 310
Smyrna, TN 37167
Phone (615) 220-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
9203 Kingston Pike
Knoxville, TN 37922-2318
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902
Other names
- American Family Care
Other providers in Knoxville, TN
- Adventa Hospice, Inc.
- Adventa Hospice, LLC
- Lora Joy Adzima
- Aeris Healthcare, LLC
- Aesthetic Elevation Knoxville, LLC
- Affect Provider Group, P.S.C.
- After Hours Pediatrics of Tennessee PC
- Agape Home Services Inc
- Agape, Incorporated
- Andre Matthew Agassi
All providers in Knoxville, TN · General Practice Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.