Individual provider Active NPI

Forrest Tilson, MD

  • Internal Medicine Physician
  • Cleveland, TN
National Provider Identifier
1891794418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12824 Issued in TN
Practice address
1060 Peerless Crossing, NW
Suite 200
Cleveland, TN 37312-5274
Phone
(423) 479-4165
Fax
(423) 478-1884
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12824 TN Primary

Addresses

Primary practice location

1060 Peerless Crossing, NW
Suite 200
Cleveland, TN 37312-5274

Mailing address

1060 Peerless Crossing, NW
Suite 200
Cleveland, TN 37312-5274
Phone (423) 479-4165

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
I20040827000875 TN Practitioner - Internal Medicine 1052386604 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC CurrentSince Nov 11, 2019 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2010 Accepting new patients
Bradley Medical Center, LLC Past Accepting new patients
Galen Medical Group, PC Internal Medicine PastSince Dec 1, 1993 Accepting new patients
Physician Services of Cleveland, PC Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 5

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891794418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS CROSSING, NW",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125274",
            "telephone_number": "423-479-4165",
            "fax_number": "423-478-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS CROSSING, NW",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125274",
            "telephone_number": "423-479-4165",
            "fax_number": "423-478-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILSON",
        "first_name": "FORREST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "12824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.