TULLAHOMA INTEGRATED HEALTH, P.C.
NPI 1912682717
Family Medicine in Tullahoma, TN
About Tullahoma Integrated Health, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TULLAHOMA INTEGRATED HEALTH, P.C. (NPI 1912682717) is a healthcare organization registered as a family medicine in Tullahoma, Tennessee and active in the NPI registry since June 2023. The organization lists Joe Kanan, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tullahoma Integrated Health, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tullahoma Integrated Health, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Integrated Health, P.C.'s NPI number?
The NPI number for Tullahoma Integrated Health, P.C. is 1912682717. It was assigned to this organization in the NPPES registry on June 19, 2023.
Where is Tullahoma Integrated Health, P.C. located?
Tullahoma Integrated Health, P.C. is located at 1940 N Jackson St Ste 110, Tullahoma, TN 37388. The listed phone number is (931) 393-2401.
What is Tullahoma Integrated Health, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tullahoma Integrated Health, P.C. enrolled in Medicare?
Yes. Tullahoma Integrated Health, P.C. is registered in the Medicare PECOS enrollment system.
When is Tullahoma Integrated Health, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Tennessee, Physician - Chiropractic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tullahoma Integrated Health, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Tullahoma Integrated Health, P.C.. 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, 1 practice at this address. 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 Integrated Health, P.C. was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tullahoma Integrated Health, P.c. · NPI 1912682717
Family Medicine organization in Tullahoma, Tennessee. Organization record, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1912682717 (Entity type: Organization)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Joe Kanan, CHIROPRACTOR
## Practice location
- **Address:** 1940 N JACKSON ST STE 110, Tullahoma, TN 37388-8255
- **Phone:** (931) 393-2401 · **Fax:** (931) 393-2402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Tennessee, Physician - Chiropractic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912682717) · Data from the CMS NPPES public registry.