Tennessee Plateau Oncology PLLC
NPI 1053575472 · Specialist · Crossville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tennessee Plateau Oncology PLLC is a Specialist organization in Crossville, TN (NPI 1053575472).
Provider details
- NPI number
- 1053575472
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Dirk Davidson, Sole Owner(931) 484-7596
- License
- MD21772 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-15
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Frequently asked questions
- What is Tennessee Plateau Oncology PLLC's NPI number?
- Tennessee Plateau Oncology PLLC's National Provider Identifier (NPI) is 1053575472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tennessee Plateau Oncology PLLC?
- Tennessee Plateau Oncology PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tennessee Plateau Oncology PLLC located?
- Tennessee Plateau Oncology PLLC's practice location on file with NPPES is 33 W Adams St, Crossville, TN 38555-4836.
- What is Tennessee Plateau Oncology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tennessee Plateau Oncology PLLC is (931) 484-7596.
- Does Tennessee Plateau Oncology PLLC accept Medicare?
- Tennessee Plateau Oncology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tennessee Plateau Oncology PLLC?
- The authorized official listed on Tennessee Plateau Oncology PLLC's NPPES record is Dirk Davidson, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tennessee Plateau Oncology PLLC's NPI active?
- Yes — Tennessee Plateau Oncology PLLC's NPI (1053575472) is active in the NPPES registry as of the last update on 2022-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.