KAFUL DOUBLE PORTION FAMILY PRACTICE, INC
NPI 1386049476
Nurse Practitioner - Family in Cleveland, TN

Active since October 31, 2014
3740 OCOEE PLACE NW, SUITE 101, CLEVELAND, TN 37312(423) 339-7107(423) 339-6717 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaful Double Portion Family Practice, Inc NPPES

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

KAFUL DOUBLE PORTION FAMILY PRACTICE, INC (NPI 1386049476) is a healthcare organization registered as a family in Cleveland, Tennessee and active in the NPI registry since October 2014. The organization lists Brenda Gilbert, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1386049476
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKAFUL DOUBLE PORTION FAMILY PRACTICE, INC
Location Address3740 OCOEE PLACE NW, SUITE 101Cleveland, TN 37312
Mailing Address3740 Ocoee Place Nw, Suite 101Cleveland, TN 37312 · (423) 339-7107 · Fax (423) 339-6717
Fax(423) 339-6717
Organization SubpartNo
Authorized OfficialBrenda GilbertProvider/owner · (423) 339-7107
Enumeration DateOctober 31, 2014
Last NPPES UpdateDecember 22, 2014
✔ NPI 1386049476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000014265
3740 OCOEE PLACE NW, Cleveland, TN 37312

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaful Double Portion Family Practice, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Kaful Double Portion Family Practice, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner10
Family Practice4
Internal Medicine1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1811127137
3740 OCOEE PLACE NW STE 101
Cleveland, TN 37312
(423) 339-7107
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609648021
3740 OCOEE PL NW STE 101
Cleveland, TN 37312
(423) 339-7107
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1568504918
2725 KEITH ST NW
Cleveland, TN 37312
(423) 476-3330
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1427288422
2440 JULIAN DR NE
Cleveland, TN 37312
(423) 702-9200
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1700129244
2253 CHAMBLISS AVE NW STE 101
Cleveland, TN 37311
(423) 473-7475
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1306462478
611 BELL RD SE
Cleveland, TN 37323
(423) 715-0897
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1154079242
119 WHITE WATER DR
Ocoee, TN 37361
(423) 299-9435
✔ PECOS8.8 mi
Family Practice
NPI 1225023799
6784 HIGHWAY 411
Benton, TN 37307
(423) 472-2273
✔ PECOS12 mi
Family Practice
NPI 1205467339
6784 HIGHWAY 411
Benton, TN 37307
(423) 338-8995
✔ PECOS12 mi
Nurse Practitioner
NPI 1962014142
9219 LEE HWY STE 103
Ooltewah, TN 37363
(423) 531-3398
✔ PECOS14 mi
Nurse Practitioner
NPI 1760014476
6802 LEE HWY
Chattanooga, TN 37421
(252) 214-2410
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1699047894
5000 ALPHA LN
Hixson, TN 37343
(423) 870-1662
✔ PECOS22 mi
Internal Medicine
NPI 1376787788
6098 DEBRA ROAD, BLDG 6200 SUITE 5200 VHA
Chattanooga, TN 37411
(423) 893-6500
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1790127090
1508 TOMBRAS AVE
East Ridge, TN 37412
(423) 867-4969
✔ PECOS26 mi
Nurse Practitioner
NPI 1700310216
8107 SPRINGDALE RD
Austin, TX 78724
(512) 651-8644
✔ PECOS✔ Accepts Medicare817 mi

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

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 Waiver 44D2085219

Kaful (double Portion) Family Practice · Cleveland, TN
Expired · Oct 8, 2026
CLIA Number44D2085219
Laboratory TypePractitioner Other
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorTiandra Love
Laboratory Phone(423) 339-7107
Laboratory LocationKaful (double Portion) Family Practice3740 Ocoee Place NW, Suite 101, Cleveland, TN 37312
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kaful Double Portion Family Practice, Inc's NPI number?

The NPI number for Kaful Double Portion Family Practice, Inc is 1386049476. It was assigned to this organization in the NPPES registry on October 31, 2014.

Where is Kaful Double Portion Family Practice, Inc located?

Kaful Double Portion Family Practice, Inc is located at 3740 Ocoee Place NW Suite 101, Cleveland, TN 37312. The listed phone number is (423) 339-7107.

What is Kaful Double Portion Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaful Double Portion Family Practice, Inc enrolled in Medicare?

Yes. Kaful Double Portion Family Practice, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaful Double Portion Family Practice, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Kaful Double Portion Family Practice, Inc. 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 (10), Family Practice (4) and Internal Medicine (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kaful Double Portion Family Practice, Inc accept?

Health plans from Cigna Healthcare list Kaful Double Portion Family Practice, Inc 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 Kaful Double Portion Family Practice, Inc was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.