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

Tullahoma Orthopaedics & Sports Medicine PLLC

Organization Orthopaedic Surgery Physician · NPI 1306831417

Tullahoma Orthopaedics & Sports Medicine PLLC is an Orthopaedic Surgery Physician in Tullahoma, Tennessee. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1816 N Washington St Ste 100
Tullahoma, TN 37388-2222
Phone: (931) 455-8676
Fax: (931) 455-9983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1306831417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Stevens — Partner · (931) 455-8676
NPI enumeratedSeptember 14, 2005
Last updated in NPPESApril 13, 2011
Mailing address1816 N Washington St, Suite 100, Tullahoma, TN 37388-2222

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