Individual provider Active NPI

Donald M Philpott, M.D.

  • General Practice Physician
  • Winchester, TN
National Provider Identifier
1811941735
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD28381 Issued in TN
Practice address
155 Hospital Rd
Suite B
Winchester, TN 37398-2495
Phone
(931) 962-4040
Fax
(931) 962-2277
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD28381 TN Primary

Addresses

Primary practice location

155 Hospital Rd
Suite B
Winchester, TN 37398-2495

Mailing address

155 Hospital Rd
Suite B
Winchester, TN 37398-2495
Phone (931) 962-4040

Other identifiers 2

IdentifierTypeStateIssuer
3806467MedicaidTN
3118091OtherTNBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000493 TN Practitioner - General PracticePractitioner - Family Practice 3779612502 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28381TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC General Practice CurrentSince May 1, 2012 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince May 1, 2012 Accepting new patients

Locations

1894 Cowan Hwy
Ste 2
Winchester, TN 37398
Phone (931) 962-4040

134 Hospital Rd
Winchester, TN 37398
Phone (931) 598-5691

155 Hospital Rd
Ste B
Winchester, TN 37398
Phone (931) 962-4040

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

155 Hospital Rd
Ste C
Winchester, TN 37398
Phone (931) 962-3297

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1811941735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-962-4040",
            "fax_number": "931-962-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-962-4040",
            "fax_number": "931-962-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "DONALD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD28381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3806467",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3118091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.