Healthcare Provider Details

I. General information

NPI: 1184699662
Provider Name (Legal Business Name): THOMAS F PHELPS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14371 US HIGHWAY 41 STE F
TRACY CITY TN
37387-5107
US

IV. Provider business mailing address

156 MORGANS STEEP RD
SEWANEE TN
37375-2031
US

V. Phone/Fax

Practice location:
  • Phone: 931-592-4000
  • Fax: 931-592-4002
Mailing address:
  • Phone: 931-463-2014
  • Fax: 931-592-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00018258
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: