COFFEE COUNTY PHYSICIAN GROUP PC
NPI 1437164878
Emergency Medicine in Manchester, TN

Active since July 31, 2006
481 INTERSTATE DR, MANCHESTER, TN 37355(931) 728-6354 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coffee County Physician Group Pc NPPES

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

COFFEE COUNTY PHYSICIAN GROUP PC (NPI 1437164878) is a healthcare organization registered as an emergency medicine in Manchester, Tennessee and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Russellville and lists Kenneth Ware, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437164878
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCOFFEE COUNTY PHYSICIAN GROUP PC
Location Address481 INTERSTATE DRManchester, TN 37355-3108
Mailing AddressPo Box 830525 Dept Sf 125Birmingham, AL 35283-0525 · (601) 368-3290 · Fax (601) 936-4389
Organization SubpartNo
Authorized OfficialKenneth WareCeo · (615) 732-0560
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1437164878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
481 INTERSTATE DR, Manchester, TN 37355

Secondary Practice Location 1

Location 115155 Highway 43Russellville, AL 35653-1975 · Phone (256) 332-1611

Other Identifiers 2

Medicaid3727643TN
Medicaid345103AL

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)

Coffee County Physician Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

58

Medicare enrollment records show 58 clinicians reassign Medicare billing to Coffee County Physician Group PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Emergency Medicine27
Nurse Practitioner12
Internal Medicine9
Family Practice7
General Surgery1
Pulmonary Disease1
Thoracic Surgery1

Nearest to this location (20)

See all 58
Emergency Medicine
NPI 1295782167
UNITY MEDICAL CENTER 482 INTERSTATE DRIVE
Manchester, TN 37355
(931) 450-1730
✔ PECOS✔ Accepts Medicare1.5 mi
Emergency Medicine
NPI 1467433623
193 RELCO DR
Manchester, TN 37355
(931) 728-3090
✔ PECOS✔ Accepts Medicare3.5 mi
Family Practice
NPI 1770821365
10335 HWY 41
Monteagle, TN 37356
(931) 924-3737
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1144728031
51 61ST AVE
Gruetli Laager, TN 37339
(931) 808-5369
✔ PECOS✔ Accepts Medicare25 mi
Emergency Medicine
NPI 1083318505
1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129
(615) 396-6449
✔ PECOS✔ Accepts Medicare32 mi
Emergency Medicine
NPI 1801842570
705 BLACK CREEK DR
Chattanooga, TN 37419
(931) 588-6356
✔ PECOS✔ Accepts Medicare51 mi
Emergency Medicine
NPI 1366499261
158 HOSPITAL DR
Carthage, TN 37030
(615) 735-1560
✔ PECOS✔ Accepts Medicare53 mi
Emergency Medicine
NPI 1538107206
391 WALLACE RD
Nashville, TN 37211
(615) 781-4605
✔ PECOS✔ Accepts Medicare54 mi
Emergency Medicine
NPI 1104147297
975 E 3RD ST
Chattanooga, TN 37403
(423) 778-7000
✔ PECOS✔ Accepts Medicare54 mi
Emergency Medicine
NPI 1295772986
7583 WALL TRIANA HWY
Madison, AL 35757
(256) 547-6119
✔ PECOS✔ Accepts Medicare61 mi
Internal Medicine
NPI 1902078041
1005 DR DB TODD JR BLVD
Nashville, TN 37208
(615) 327-6611
✔ PECOS✔ Accepts Medicare62 mi
Emergency Medicine
NPI 1619918851
9231 HIDDEN MOUNTAIN DR
Chattanooga, TN 37421
(504) 913-2789
✔ PECOS64 mi
Emergency Medicine
NPI 1558320168
202 HOSPITAL ST
Moulton, AL 35650
(256) 522-2272
✔ PECOS✔ Accepts Medicare98 mi
Emergency Medicine
NPI 1407944796
1110 E 6TH ST STE D
Muscle Shoals, AL 35661
(256) 397-8842
✔ PECOS✔ Accepts Medicare98 mi
Internal Medicine
NPI 1235512591
2122 HELTON DR
Florence, AL 35630
(256) 415-8680
✔ PECOS✔ Accepts Medicare101 mi
Emergency Medicine
NPI 1174047245
310 N L ROGERS WELLS BLVD
Glasgow, KY 42141
(270) 659-5555
✔ PECOS✔ Accepts Medicare104 mi
Family Practice
NPI 1922387299
15225 HIGHWAY 43 SUITE 1
Russellville, AL 35653
(256) 311-2700
✔ PECOS✔ Accepts Medicare115 mi
Nurse Practitioner
NPI 1376948240
1105 EARL FRYE BLVD
Amory, MS 38821
(662) 256-7111
✔ PECOS✔ Accepts Medicare172 mi
General Surgery
NPI 1336118843
232 STARLYN AVE
New Albany, MS 38652
(662) 534-5891
✔ PECOS✔ Accepts Medicare181 mi
Thoracic Surgery
NPI 1295753762
5180 PARK AVE SUITE 250
Memphis, TN 38119
(901) 753-3766
✔ PECOS217 mi
See all 58 clinicians

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 Coffee County Physician Group PC's NPI number?

The NPI number for Coffee County Physician Group PC is 1437164878. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Coffee County Physician Group PC located?

Coffee County Physician Group PC is located at 481 Interstate Dr, Manchester, TN 37355. The listed phone number is (931) 728-6354.

What is Coffee County Physician Group PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Coffee County Physician Group PC enrolled in Medicare?

Yes. Coffee County Physician Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coffee County Physician Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 7 Medicare specialties reassign their Medicare billing to Coffee County Physician Group PC. 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 Emergency Medicine (27), Nurse Practitioner (12) and Internal Medicine (9). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coffee County Physician Group PC accept?

Health plans from Molina Healthcare list Coffee County Physician Group PC 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 Coffee County Physician Group PC was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.