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TULLAHOMA IMMEDIATE CARE PC
NPI 1730457649
Family Medicine in Tullahoma, TN

Active since December 06, 2011
1210 S JACKSON ST, TULLAHOMA, TN 37388(931) 454-0489(931) 454-1227 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tullahoma Immediate Care Pc NPPES

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

TULLAHOMA IMMEDIATE CARE PC (NPI 1730457649) is a healthcare organization registered as a family medicine in Tullahoma, Tennessee and active in the NPI registry since December 2011. The organization lists John D Patsimas, M.d., as its authorized official.

NPPES Registry Identity

NPI1730457649
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTULLAHOMA IMMEDIATE CARE PC
Location Address1210 S JACKSON STTullahoma, TN 37388-4386
Mailing Address100 William Northern BlvdTullahoma, TN 37388-4754 · (931) 454-0489 · Fax (931) 454-1227
Phone(931) 454-0489
Fax(931) 454-1227
Organization SubpartNo
Authorized OfficialJohn D PatsimasM.d. · (931) 454-0489
Enumeration DateDecember 6, 2011
Last NPPES UpdateMarch 28, 2013
✔ NPI 1730457649 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.
1210 S JACKSON ST, Tullahoma, TN 37388
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Other Identifiers 2

Other4315510TN · Bcbs
Medicare PIN103G702650

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tullahoma Immediate Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tullahoma Immediate Care PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Brett Ferrell, M.D.
Family Practice
NPI 1356646434
100 WILLIAM N. BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare2.7 mi
John Patsimas, MD
Family Practice
NPI 1649376849
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare2.7 mi
Donald Tucker, MD
Internal Medicine
NPI 1487695904
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0492
✔ PECOS✔ Accepts Medicare2.7 mi
Tara Tye, NP-C
Nurse Practitioner
NPI 1093340630
100 WILLIAM NORTHERN BLVD
Tullahoma, TN 37388
(931) 454-0489
✔ PECOS✔ Accepts Medicare2.7 mi
Ashley Harper, NP
Nurse Practitioner
NPI 1639457567
19592 STATE ROUTE 56
Beersheba Springs, TN 37305
(931) 692-2229
✔ PECOS✔ Accepts Medicare32 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 Tullahoma Immediate Care PC's NPI number?

The NPI number for Tullahoma Immediate Care PC is 1730457649. It was assigned to this organization in the NPPES registry on December 6, 2011.

Where is Tullahoma Immediate Care PC located?

Tullahoma Immediate Care PC is located at 1210 S Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 454-0489.

What is Tullahoma Immediate Care PC's specialty?

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

Is Tullahoma Immediate Care PC enrolled in Medicare?

Yes. Tullahoma Immediate Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tullahoma Immediate Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Tullahoma Immediate Care PC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 4 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 Tullahoma Immediate Care PC was last updated on March 28, 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.