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MANCEL WAKHAM LLC
NPI 1487475067
Family Medicine in Kingston, TN

Active since October 17, 2024
1000 BRADFORD WAY STE 500, KINGSTON, TN 37763(865) 621-3601(865) 409-5733 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mancel Wakham Llc NPPES

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

MANCEL WAKHAM LLC (NPI 1487475067) is a healthcare organization registered as a family medicine in Kingston, Tennessee and active in the NPI registry since October 2024. The organization lists Mancel Wakhem, Owner, as its authorized official.

NPPES Registry Identity

NPI1487475067
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANCEL WAKHAM LLC
Location Address1000 BRADFORD WAY STE 500Kingston, TN 37763-3126
Mailing Address1000 Bradford Way Ste 500Kingston, TN 37763-3126 · (865) 621-3601 · Fax (865) 409-5733
Phone(865) 621-3601
Fax(865) 409-5733
Organization SubpartNo
Authorized OfficialMancel WakhemOwner · (865) 621-3601
Enumeration DateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1487475067 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.
1000 BRADFORD WAY STE 500, Kingston, TN 37763
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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 4

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

MRS. CANDACE JOY TEMPLETON FNP
Nurse Practitioner
1000 BRADFORD WAY STE 500
KINGSTON, TN 37763
Roane County (865) 285-9588
MR. DARIN TYLER WRIGHT APN
Nurse Practitioner
1000 BRADFORD WAY STE 500
KINGSTON, TN 37763
Roane County (865) 285-9588
JONNI RHEA WOOD NP-C
Nurse Practitioner (Family)
1000 BRADFORD WAY STE 500
KINGSTON, TN 37763
Roane County (865) 285-9588
ONSITE CARE, LLC
Nurse Practitioner
1000 BRADFORD WAY STE 500
KINGSTON, TN 37763
Roane County (865) 285-9588

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 Mancel Wakham LLC's NPI number?

The NPI number for Mancel Wakham LLC is 1487475067. It was assigned to this organization in the NPPES registry on October 17, 2024.

Where is Mancel Wakham LLC located?

Mancel Wakham LLC is located at 1000 Bradford Way Ste 500, Kingston, TN 37763. The listed phone number is (865) 621-3601.

What is Mancel Wakham LLC'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 Mancel Wakham LLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.