ELK RIVER PHYSICIANS GROUP PLLC NPI 1386686806

NPI Information

NPI: 1386686806
Provider Name: ELK RIVER PHYSICIANS GROUP, PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
CLIA Number: 44D0930712
Address: 155 HOSPITAL RD
SUITE D
WINCHESTER, TN
ZIP 37398
Phone: (931) 967-8055

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NPI Details

ELK RIVER PHYSICIANS GROUP, PLLC is a podiatrist in Winchester, TN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ELK RIVER PHYSICIANS GROUP, PLLC NPI is 1386686806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 HOSPITAL RD
SUITE D
WINCHESTER, TN
ZIP 37398-494
Phone: (931) 967-8055

The provider's authorized official is Jane Boyle .
The authorized official title is Ceo and has the following contact phone number (931) 968-6405.

The CLIA number assigned to this NPI record is 44D0930712 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 9/11/2025.

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	License Number	License State	Primary
1	208600000X	Surgery	MD0000011992	TENNESSEE	No
2	207Q00000X	Family Medicine	MD0000011440	TENNESSEE	No
3	207R00000X	Internal Medicine	MD0000030284	TENNESSEE	No
4	208800000X	Urology	MD0000037542	TENNESSEE	No
5	207X00000X	Orthopaedic Surgery	DO0000001192	TENNESSEE	No
6	207V00000X	Obstetrics & Gynecology	MD0000026408	TENNESSEE	No
7	207Y00000X	Otolaryngology	MD0000037655	TENNESSEE	No
8	208000000X	Pediatrics	MD0000020791	TENNESSEE	No
9	213E00000X	Podiatrist	DPM0000000591	TENNESSEE	Yes

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
1	3733051	MEDICAID	TENNESSEE

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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