Individual provider Active NPI

David G Florence, DO

  • Family Medicine Physician
  • Manchester, TN
National Provider Identifier
1881676856
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000000604 Issued in TN
Practice address
804 Keylon St
Manchester, TN 37355-2414
Phone
(931) 728-5522
Fax
(931) 680-9835
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO0604 TN
Family Medicine Physician 207Q00000X DO0000000604 TN Primary

Addresses

Primary practice location

804 Keylon St
Manchester, TN 37355-2414

Mailing address

PO Box 749
David Florence DO
Manchester, TN 37349-0749
Phone (931) 728-5522

Other identifiers 2

IdentifierTypeStateIssuer
3306758MedicaidTN
4039106OtherTNBCBS

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
I20040226000888 TN Practitioner - Family PracticePractitioner - Pain ManagementPractitioner - Emergency Medicine 6103712013 Reassigns benefits to 3 organizations
Practice locations: Manchester, TN

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Pain Management
Education
R Franklin University of Med & Sci/Chicago Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1239 McArthur St
Manchester, TN 37355-2490
Phone (931) 619-8165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO0604TNMDEmergency Medicine Physician
DO0000000604TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 6, 2017 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 6, 2017 Accepting new patients
Spine and Medical Associates of Grundy County CurrentSince Jan 17, 2012 Accepting new patients
Coffee Medical Group LLC CurrentSince Feb 26, 2009 Accepting new patients
Rocky Top Medical Clinic LLC Family Medicine CurrentSince Feb 6, 2012 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Coffee Medical Group LLC CurrentSince Feb 26, 2009 Accepting new patients
Lebanon Health Care Center Family Medicine Past Accepting new patients
Willow Medical Clinic, LLC PastSince Aug 18, 2008 Accepting new patients
Cumberland River Hospital Inc Family Medicine Past Accepting new patients
Cookville Pain Consultants of Putnam County Family Medicine PastSince Jun 1, 2012 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Dr. David G. Florence Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

1001 McArthur St
Manchester, TN 37355
Phone (931) 728-3586

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1881676856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "address_2": "DAVID FLORENCE DO",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490749",
            "telephone_number": "931-728-5522",
            "fax_number": "931-680-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KEYLON ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552414",
            "telephone_number": "931-728-5522",
            "fax_number": "931-680-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO0604",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000000604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3306758",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4039106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.