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

Charles Davis Ford, MD

Individual provider Emergency Medicine Physician · NPI 1063451672

Charles Davis Ford, MD is an Emergency Medicine in Huntingdon, Tennessee. Graduated from University of Utah School of Medicine in 1984, 42 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
42
Trained at
University of Utah School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

631 Rb Wilson Dr
Huntingdon, TN 38344-1727
Phone: (731) 986-4461
Fax: (865) 291-3228
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 38666 (TN)

Record details

NPI number1063451672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESNovember 7, 2007
Mailing addressPo Box 636019, Cincinnati, OH 45263-6019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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