Individual provider Active NPI

Harrison Matthew Falwell, DO

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1972167732
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5055 Issued in TN
Practice address
550 S Jackson St FL 3
Louisville, KY 40202-1622
Phone
(502) 852-5666
NPI assigned
Apr 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 5055 TN
Internal Medicine Physician 207R00000X 5055 TN Primary

Addresses

Primary practice location

550 S Jackson St FL 3
Louisville, KY 40202-1622

Mailing address

550 S Jackson St FL 3
Louisville, KY 40202-1622

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307000451 TN Practitioner - Hospitalist 8426468356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

215 W 6TH St
Cookeville, TN 38501-1723
Phone (931) 783-2850

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • The Rehab Center at Cookeville RMC Inpatient rehabilitation facility, Cookeville, TN, CCN 44T059

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5055TNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Feb 15, 2023 Accepting new patients
Falwell Medical Services LLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

215 W 6th St
Cookeville, TN 38501
Phone (931) 783-2800

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

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

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

Organizations & group practices 3

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.

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1972167732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-852-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALWELL",
        "first_name": "HARRISON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "5055",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "5055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.