AWCC
NPI 1205562279
Family Medicine - Adult Medicine in Murfreesboro, TN

Active since August 01, 2022
2042 LASCASSAS PIKE STE A4, MURFREESBORO, TN 37130(901) 484-0837 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Awcc NPPES

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

AWCC (NPI 1205562279) is a healthcare organization registered as an adult medicine in Murfreesboro, Tennessee and active in the NPI registry since August 2022. The organization lists Ethan Kellum, Owner, as its authorized official.

NPPES Registry Identity

NPI1205562279
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameAWCC
Location Address2042 LASCASSAS PIKE STE A4Murfreesboro, TN 37130-2034
Mailing Address2042 Lascassas Pike Ste A4Murfreesboro, TN 37130-2034
Organization SubpartNo
Authorized OfficialEthan KellumOwner · (901) 484-0837
Enumeration DateAugust 1, 2022
NPPES CertifiedAugust 1, 2022
NPI 1205562279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2042 LASCASSAS PIKE STE A4, Murfreesboro, TN 37130

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Physical Medicine & Rehabilitation
2042 LASCASSAS PIKE STE A4
MURFREESBORO, TN 37130
Physical Medicine & Rehabilitation
2042 LASCASSAS PIKE STE A4
MURFREESBORO, TN 37130
Physical Medicine & Rehabilitation
2042 LASCASSAS PIKE STE A4
MURFREESBORO, TN 37130

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 Awcc's NPI number?

The NPI number for Awcc is 1205562279. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Awcc located?

Awcc is located at 2042 Lascassas Pike Ste A4, Murfreesboro, TN 37130. The listed phone number is (901) 484-0837.

What is Awcc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Awcc was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.