Organization Active NPI

Family Doctors of Oak Ridge, PC

  • Family Medicine Physician
  • Oak Ridge, TN
National Provider Identifier
1932220720
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30688 Issued in TN
Legal business name
FAMILY DOCTORS OF OAK RIDGE, PC
Practice address
400 Laboratory Rd Ste 101
Oak Ridge, TN 37830-6808
Phone
(865) 482-1692
Fax
(865) 482-4070
NPI assigned
Apr 2, 2007
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Jeffrey J Grabenstein, M.D.NPI 1639277494
Title
Owner
Phone
(865) 482-1692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30688 TN Primary

Addresses

Primary practice location

400 Laboratory Rd Ste 101
Oak Ridge, TN 37830-6808

Mailing address

400 Laboratory Rd Ste 101
Oak Ridge, TN 37830-6808
Phone (865) 482-1692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050209000278 TN Part B Supplier - Clinic/Group Practice 5597716332 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Ridge, TN

National Provider Directory

National Provider Directory

Locations

400 Laboratory Rd
Ste 101
Oak Ridge, TN 37830
Phone (865) 482-1692

653 Briarcliff Ave
Oak Ridge, TN 37830
Phone (865) 482-6080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1932220720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD STE 101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306808",
            "telephone_number": "865-482-1692",
            "fax_number": "865-482-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD STE 101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306808",
            "telephone_number": "865-482-1692",
            "fax_number": "865-482-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS OF OAK RIDGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GRABENSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-482-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.