DR. THOMAS TERRELL MD NPI 1083703003

NPI Information

  • NPI: 1083703003
  • Provider Name: DR. THOMAS TERRELL, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 EXECUTIVE PARK DR
    CLINTON, TN
    ZIP 37716
  • Phone: (865) 494-9241

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NPI Details

DR. Thomas Terrell, MD is a family medicine in Clinton, TN. The provider is 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. DR. Thomas Terrell, MD NPI is 1083703003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 EXECUTIVE PARK DR
CLINTON, TN
ZIP 37716
Phone: (865) 494-9241
Fax: (865) 494-0895

The NPI 1083703003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 6/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports Medicine038858TENNESSEENo
2207Q00000XFamily Medicine038858TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13373352OTHERTENNESSEEMEDICARE GRP UFP
2P00923551OTHERTENNESSEERR MEDICARE UFP
31522707OTHERTENNESSEEMEDICAID PTAN UFP
44278768OTHERTENNESSEEBCBS TN UFP
51522707MEDICAIDTENNESSEE
6000352900MEDICAIDFLORIDA
7103I083671OTHERTENNESSEEMEDICARE PTAN UFP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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