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TENNESSEE PLATEAU ONCOLOGY PLLC
NPI 1053575472
Specialist in Crossville, TN

Active since July 15, 2008CLIA 44D1021272 · Certificate of Compliance
33 W ADAMS ST, CROSSVILLE, TN 38555(931) 484-7596(931) 484-7597 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tennessee Plateau Oncology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TENNESSEE PLATEAU ONCOLOGY PLLC (NPI 1053575472) is a healthcare organization registered as a specialist in Crossville, Tennessee and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through September 10, 2026 and lists Dirk C Davidson, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1053575472
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTENNESSEE PLATEAU ONCOLOGY PLLC
Location Address33 W ADAMS STCrossville, TN 38555-4836
Mailing Address33 W Adams StCrossville, TN 38555-4836 · (931) 484-7596 · Fax (931) 484-7597
Phone(931) 484-7596
Fax(931) 484-7597
Organization SubpartNo
Authorized OfficialDirk C DavidsonSole Owner · (931) 484-7596
Enumeration DateJuly 15, 2008
Last NPPES UpdateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
✔ NPI 1053575472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD21772
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
33 W ADAMS ST, Crossville, TN 38555
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Other Identifiers 2

OtherP00102649TN · Rr Medicare
Medicaid3890077TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 44D1021272

Tennessee Plateau Oncology, PLLC · Crossville, TN
Active · expires Sep 10, 2026
CLIA Number44D1021272
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorDr. Dirk C. Davidson
Laboratory Phone(931) 484-7596
Laboratory LocationTennessee Plateau Oncology, PLLC33 West Adams Street, Crossville, TN 38555
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALASONDRA DIANA FREEBORN PA-C
Physician Assistant
33 W ADAMS ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-7596
DR. DIRK C DAVIDSON MD
Specialist
33 W ADAMS ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-7596
CUMBERLAND OPTICAL
Eyewear Supplier
33 W ADAMS ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9548
DAVID WILLIAMSS LITCHFORD M.D.
Ophthalmology
33 W ADAMS ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9547
LITCHFORD EYE CLINIC, PC
Specialist
33 W ADAMS ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-9547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tennessee Plateau Oncology PLLC's NPI number?

The NPI number for Tennessee Plateau Oncology PLLC is 1053575472. It was assigned to this organization in the NPPES registry on July 15, 2008.

Where is Tennessee Plateau Oncology PLLC located?

Tennessee Plateau Oncology PLLC is located at 33 W Adams St, Crossville, TN 38555. The listed phone number is (931) 484-7596.

What is Tennessee Plateau Oncology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Tennessee Plateau Oncology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D1021272) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tennessee Plateau Oncology PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Tennessee Plateau Oncology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tennessee Plateau Oncology PLLC was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.