Organization Active NPI

Family Physicians of Greeneville

  • Family Medicine Physician
  • Greeneville, TN
National Provider Identifier
1720099708
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30267 Issued in TN
Legal business name
FAMILY PHYSICIANS OF GREENEVILLE
Practice address
1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-5819
Phone
(423) 787-7000
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Kevin S Toppenberg, MDNPI 1093726085
Title
Secretary
Phone
(423) 787-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30267 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-5819

Mailing address

1410 Tusculum Blvd
Suite 2600
Greeneville, TN 37745-5819
Phone (423) 787-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070716000677 TN Part B Supplier - Clinic/Group Practice 3971603275 Receives reassigned benefits from 2 practitioners
Practice locations: Greeneville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1059644Family Physicians of Greeneville, PC1410 Tusculum Blvd Suite 2600, Greeneville, TN 37745Provider-performed microscopyOct 3, 2026

National Provider Directory

National Provider Directory

Locations

1410 Tusculum Blvd
Ste 2600
Greeneville, TN 37745
Phone (423) 787-7000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1720099708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2600",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455819",
            "telephone_number": "423-787-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2600",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455819",
            "telephone_number": "423-787-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF GREENEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "TOPPENBERG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-787-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.