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FALLEN LEAF MEDICAL
NPI 1376330696
Family Medicine in Knoxville, TN

Active since April 21, 2025
10820 KINGSTON PIKE STE 22, KNOXVILLE, TN 37934(865) 549-0750 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fallen Leaf Medical NPPES

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

FALLEN LEAF MEDICAL (NPI 1376330696) is a healthcare organization registered as a family medicine in Knoxville, Tennessee and active in the NPI registry since April 2025. The organization lists Michael Radford Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1376330696
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFALLEN LEAF MEDICAL
Location Address10820 KINGSTON PIKE STE 22Knoxville, TN 37934-3065
Mailing Address10820 Kingston Pike Ste 22Knoxville, TN 37934-3065 · (865) 549-0750
Phone(865) 549-0750
Organization SubpartNo
Authorized OfficialMichael Radford MooreOwner · (865) 549-0750
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1376330696 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.
10820 KINGSTON PIKE STE 22, Knoxville, TN 37934
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Other Names 1

Doing Business AsFallen Leaf Medical

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

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 Fallen Leaf Medical's NPI number?

The NPI number for Fallen Leaf Medical is 1376330696. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Fallen Leaf Medical located?

Fallen Leaf Medical is located at 10820 Kingston Pike Ste 22, Knoxville, TN 37934. The listed phone number is (865) 549-0750.

What is Fallen Leaf Medical's specialty?

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

When was this NPI record last updated?

The NPPES record for Fallen Leaf Medical was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.