Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fallen Leaf Medical

Organization Family Medicine Physician · NPI 1376330696

Fallen Leaf Medical provides Family Medicine Physician services 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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