FAMILY PRACTICE CENTER OF TULLAHOMA LLC
NPI 1275796880
Family Medicine in Tullahoma, TN

Active since July 03, 2008
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388(931) 454-0489 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Practice Center Of Tullahoma Llc NPPES

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

FAMILY PRACTICE CENTER OF TULLAHOMA LLC (NPI 1275796880) is a healthcare organization registered as a family medicine in Tullahoma, Tennessee and active in the NPI registry since July 2008. The organization lists John D Patsimas, M.d., as its authorized official.

NPPES Registry Identity

NPI1275796880
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY PRACTICE CENTER OF TULLAHOMA LLC
Location Address100 WILLIAM NORTHERN BLVDTullahoma, TN 37388-4754
Mailing Address100 William Northern BlvdTullahoma, TN 37388-4754 · (931) 454-0489 · Fax (931) 454-1227
Organization SubpartNo
Authorized OfficialJohn D PatsimasM.d. · (931) 454-0489
Enumeration DateJuly 3, 2008
Last NPPES UpdateMarch 20, 2013
✔ NPI 1275796880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 WILLIAM NORTHERN BLVD, Tullahoma, TN 37388

Other Identifiers 3

Other4314517TN · Bcbs
Medicaid1527567TN
Medicare PIN103G708417

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Center Of Tullahoma Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Family Practice Center Of Tullahoma LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1093340630
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447069349
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1649376849
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1841072014
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1487695904
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0492
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1679035851
2230 COWAN HWY
Winchester, TN 37398
(931) 962-8012
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1770821365
10335 HWY 41
Monteagle, TN 37356
(931) 924-3737
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1639457567
19592 STATE ROUTE 56
Beersheba Springs, TN 37305
(931) 692-2229
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Practice Center Of Tullahoma LLC's NPI number?

The NPI number for Family Practice Center Of Tullahoma LLC is 1275796880. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Family Practice Center Of Tullahoma LLC located?

Family Practice Center Of Tullahoma LLC is located at 100 William Northern Blvd, Tullahoma, TN 37388. The listed phone number is (931) 454-0489.

What is Family Practice Center Of Tullahoma LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Practice Center Of Tullahoma LLC enrolled in Medicare?

Yes. Family Practice Center Of Tullahoma LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Practice Center Of Tullahoma LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Practice Center Of Tullahoma LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Internal Medicine (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Practice Center Of Tullahoma LLC was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.