Complete Healthcare and Medical Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMPLETE HEALTHCARE AND MEDICAL CENTER PLLC

Practice address

2425 Jacksboro Pike
La Follette, TN 37766-2908

Phone

(423) 566-4748

Fax

(423) 566-4119

NPI assigned

Oct 4, 2010

Last updated

Mar 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Murugesen Dhandapani, M.D.NPI 1306876537

Title

Physician

Phone

(423) 566-4748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720397169. Details of each certification follow.

• CCN 448971 Rural health clinic · Active · Details

Rural health clinic certification: CCN 448971

Legal name

COMPLETE HEALTHCARE AND MEDICAL CENTER PLLC

Doing business as

COMPLETE HEALTHCARE MEDICAL CENTER

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 22, 2016

Last certification

Nov 22, 2016

Ownership / control type

1C

Organization structure

LLCProprietary

Incorporated

Sep 1, 2010 in TN

Enrollment address

2425 Jacksboro Pike
La Follette, TN 37766-2908

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Murugesen Dhandapani, M.D.

  • Family Medicine Physician
  • La Follette, TN
  • NPI 1306876537

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Murugesen Dhandapani, M.D.

  • Family Medicine Physician
  • La Follette, TN
  • NPI 1306876537
  Medicare reassignment Care Compare group NPD Authorized official
• Jennie M Carter, NP

  • Family Medicine Physician
  • Jacksboro, TN
  • NPI 1427423078
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1720397169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662908",
            "telephone_number": "423-566-4748",
            "fax_number": "423-566-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662908",
            "telephone_number": "423-566-4748",
            "fax_number": "423-566-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTHCARE AND MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "DHANDAPANI",
        "authorized_official_first_name": "MURUGESEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "423-566-4748",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Danielle Chrzanowski, FNP
• Elijah G Cline, MD
• Thomas L Cohen, M.D.
• Dakota Aston Coltharp
• Community Health of East Tennessee, Inc
• Complete Healthcare Medical Center
• Complete Rural Healthcare and Medical Center PLLC
• Stephanie Conder, DNP, FNP-BC
• County of Campbell
• Amy L Crabtree, LCSW

• Family Medicine Physician in La Follette, TN
• Providers in La Follette, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.