Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallen Leaf Medical

Organization Family Medicine Physician · NPI 1376330696

Fallen Leaf Medical is a Family Medicine Physician in Knoxville, Tennessee. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

10820 Kingston Pike Ste 22
Knoxville, TN 37934-3065
Phone: (865) 549-0750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1376330696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Moore — Owner · (865) 549-0750
Other names Fallen Leaf Medical
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address10820 Kingston Pike Ste 22, Knoxville, TN 37934-3065

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