Organization Active NPI

Dunlap Medical Center, PLLC

  • Family Medicine Physician
  • Dunlap, TN
National Provider Identifier
1962591982
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DUNLAP MEDICAL CENTER, PLLC
Practice address
67 Cates Street
Dunlap, TN 37327-1777
Phone
(423) 949-2171
Fax
(423) 949-5118
NPI assigned
Oct 11, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Susan M. Olinger, CPC
Title
Office Manager
Phone
(423) 949-2171

Specialties & licenses 1

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

Addresses

Primary practice location

67 Cates Street
Dunlap, TN 37327-1777

Mailing address

PO Box 1777
Dunlap, TN 37327-1777
Phone (423) 949-2171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323001066 TN Part B Supplier - Clinic/Group Practice 0749236610 Receives reassigned benefits from 4 practitioners
Practice locations: Dunlap, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0309484Dunlap Medical Center PLLC67 Cates Street, Dunlap, TN 37327Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

67 Cates St
Dunlap, TN 37327
Phone (423) 949-2171

Practitioners & affiliated clinicians

Practitioners 7

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1962591982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1777",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373271777",
            "telephone_number": "423-949-2171",
            "fax_number": "423-949-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CATES STREET",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373271777",
            "telephone_number": "423-949-2171",
            "fax_number": "423-949-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNLAP MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "OLINGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-949-2171",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.