Individual provider Active NPI

Charles Tessier IV, DO

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1659535557
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO000001897 Issued in TN
Practice address
1340 NW Broad St
Murfreesboro, TN 37129-1755
Phone
(615) 439-6165
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO465 LA
Family Medicine Physician 207Q00000X 2612 AL
Family Medicine Physician 207Q00000X CL0424 NV
Family Medicine Physician 207Q00000X T1580 TX
Family Medicine Physician 207Q00000X 69736 MN
Family Medicine Physician 207Q00000X DO229807 OR
Family Medicine Physician 207Q00000X 89414 GA
Family Medicine Physician 207Q00000X 245554 NC
Family Medicine Physician 207Q00000X 009282 AZ
Family Medicine Physician 207Q00000X DO000001897 TN Primary
Family Medicine Physician 207Q00000X 1079 WI
Family Medicine Physician 207Q00000X EMC0001164 MI
Family Medicine Physician 207Q00000X CDR.0003065 CO
Family Medicine Physician 207Q00000X 24616 MS
Family Medicine Physician 207Q00000X 18920 CA

Addresses

Primary practice location

1340 NW Broad St
Murfreesboro, TN 37129-1755

Mailing address

1340 NW Broad St
Murfreesboro, TN 37129-1755
Phone (931) 841-1777

Other practice location 1

4021 W. Heck Ct.
Baton Rouge, LA 70816
Phone (715) 495-0404

Other practice location 2

1303 Main Street S
Holmen, WI 54636-8927
Phone (608) 785-0940

Other practice location 3

620 Oak Harbor Blvd
Slidell, LA 70458-8862
Phone (715) 495-0404

Other practice location 4

734 Cherryville Rd
Shelby, NC 28150-3625
Phone (715) 495-0404

Other practice location 5

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (862) 415-0509

Other practice location 6

1919 NW Lovejoy St
Portland, OR 97209-1503
Phone (503) 414-5661

Other identifiers 4

IdentifierTypeStateIssuer
DO.OP.61537819-IMLCOtherWASTATE LICENSE
DO-06652OtherIASTATE LICENSE
05-49018OtherKSSTATE LICENSE
25IB12173700OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140523001088 TN Practitioner - Family Practice 0446473235 Reassigns benefits to 2 organizations
I20220307000232 TX Practitioner - Family Practice 0446473235
I20260109000055 WI Practitioner - Family Practice 0446473235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charles R Tessier DO PCGroup PAC ID 4284857285, 7 clinicians
Mezuzah Investment Group LLCGroup PAC ID 6103269642, 4 clinicians
Mayo Clinic Health System-Southwest Wisconsin Region IncGroup PAC ID 0345152443, 539 clinicians

Practice addresses (Care Compare)

1340 NW Broad St
Murfreesboro, TN 37129-1755
Phone (615) 439-6165

304 W Church St
Lewisburg, TN 37091-2730
Phone (931) 359-3551

800 W Ave S
La Crosse, WI 54601-8806
Phone (608) 785-0940

Hospital & facility affiliations

  • Unity Medical Center Hospital, Manchester, TN, CCN 440007
  • Mayo Clinic Health System - Albert Lea and Austin Hospital, Albert Lea, MN, CCN 240043

Merit-based Incentive Payment System (MIPS)

Final score
22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18920CAMDAcupuncturist
009282AZMDFamily Medicine Physician
CDR.0003065COMDFamily Medicine Physician
89414GAMDFamily Medicine Physician
DO465LAMDFamily Medicine Physician
EMC0001164MIMDFamily Medicine Physician
69736MNMDFamily Medicine Physician
24616MSMDFamily Medicine Physician
245554NCMDFamily Medicine Physician
CL0424NVMDFamily Medicine Physician
DO000001897TNMDFamily Medicine Physician
1079WIMDFamily Medicine Physician
2612ALMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mezuzah Investment Group LLC Family Medicine CurrentSince Dec 12, 2023 Accepting new patients
Charles R Tessier DO PC Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Sanando Integrative Med Clinic, PLLC Family Medicine Past Accepting new patients
Moore Family Medical PLC PastSince Aug 1, 2012 Accepting new patients
Premise Health of Ohio Medical, P.a Family Medicine Past Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Past Accepting new patients

Locations

1223 Hatcher Ln
Ste A
Columbia, TN 38401

1223 Hatcher Ln
Columbia, TN 38401
Phone (931) 840-4200

2927 Huntsville Hwy
Ste A
Fayetteville, TN 37334
Phone (931) 297-5028

304 W Church St
Lewisburg, TN 37091
Phone (931) 359-3551

909 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

911 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 723-1705

1346 Dow St
Murfreesboro, TN 37130
Phone (334) 482-3136

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

115 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 439-6165

116 Frank Martin Rd
Shelbyville, TN 37160
Phone (931) 684-5554

1303 S Main St
Holmen, WI 54636
Phone (608) 526-1526

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156

800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808

Organizations & group practices 7

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1659535557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 NW BROAD ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291755",
            "telephone_number": "931-841-1777"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 NW BROAD ST",
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            "state": "TN",
            "postal_code": "371291755",
            "telephone_number": "615-439-6165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4021 W. Heck Ct.",
            "address_purpose": "LOCATION",
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            "state": "LA",
            "postal_code": "70816",
            "country_code": "US",
            "telephone_number": "715-495-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "telephone_number": "608-785-0940",
            "country_name": "United States",
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        },
        {
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        },
        {
            "address_1": "734 Cherryville Rd",
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            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "862-415-0509",
            "fax_number": "973-238-5104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 NW Lovejoy St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091503",
            "country_code": "US",
            "telephone_number": "503-414-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESSIER",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
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            "license": "DO465",
            "primary": false
        },
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            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "2612",
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        },
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            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "CL0424",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T1580",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "69736",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO229807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89414",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "245554",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009282",
            "primary": false
        },
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            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
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            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "1079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "EMC0001164",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0003065",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "24616",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "18920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO.OP.61537819-IMLC",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO-06652",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "05-49018",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25IB12173700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.