Afc Physicians of Tennessee, PC
Organization Active NPI General Practice Physician · Alcoa, TN
NPI 1881028512 · NPPES record last updated Jun 12, 2020
Key facts
- NPI
- 1881028512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- AFC PHYSICIANS OF TENNESSEE, PC
- Practice address
- 1015 Hunters Crossing Drive
Alcoa, TN 37701-1850 - Phone
- (856) 238-2006
- Fax
- (856) 238-2013
- NPI assigned
- Aug 29, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- AFC PHYSICIANS OF TENNESSEE, PC
Authorized official
- Name
- Mr. Randy Johansen
- Title
- President
- Phone
- (205) 421-2101
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 6
Practitioners 5
-
Karen Hunt, MD
-
Jennifer L Ashley, NP-C
-
Erika M. Silberman, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110128000880 | TN | Part B Supplier - Clinic/Group Practice | 5395924823 |
Receives reassigned benefits from 114 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Knoxville, TN; Spring Hill, TN; Smyrna, TN; Nashville, TN; Hendersonville, TN; Clarksville, TN; Chattanooga, TN; Mt. Juliet, TN… |
National Provider Directory
- Tax ID family
- Afc Physicians of Tennessee
- Part of
- Afc Physicians of Tennessee
Locations
2070 Wall St
Spring Hill, TN 37174
Phone (615) 567-8965
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | TN | Yes |
Addresses
Primary practice location
1015 Hunters Crossing Drive
Alcoa, TN 37701-1850
Mailing address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103G702075 | Other | TN | MCR PTAN |
Other providers in Alcoa, TN
- A Step Ahead Orthotics and Prosthetics Inc
- Khaled Othman Abumayaleh
- Adam Alliance Transport LLC
- Agilitas USA, Inc
- Nicholas Michael Agvent
- Ahr
- Edward W. Akeyson
- Teshauria Tyanna Akinleye
All providers in Alcoa, TN · General Practice 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 Jun 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.