James Aachen-Winans, MD
Individual provider Active NPI Facial Plastic Surgery Physician · Sparta, TN
NPI 1811999006 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1811999006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Facial Plastic Surgery Physician 207YS0123X
- License
- 26063 (TN)
- Practice address
- 415 Sewell Dr
Sparta, TN 38583-1223 - Phone
- (931) 739-8111
- Fax
- (931) 739-8112
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Physician Services Inc | Past | Accepting new patients | |
| Southeastern Ear, Nose & Throat | Past | Accepting new patients | |
| White County Physician Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 26063 | TN | Yes |
Addresses
Primary practice location
415 Sewell Dr
Sparta, TN 38583-1223
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3087915 | Medicaid | TN |
Other providers in Sparta, TN
- Abhay G Kemkar MD
- Above the Horizon Community Services. LLC
- Absolute Care Housing
- Advanced Diagnostic Imaging, PC
- Advanced Sleep Diagnostics, Inc.
All providers in Sparta, TN · Facial Plastic Surgery 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 Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.