OrganizationActive
Awcc
NPI 1205562279 · Adult Medicine Physician · Murfreesboro, TN
Awcc is a Adult Medicine Physician organization in Murfreesboro, TN (NPI 1205562279).
Provider details
- NPI number
- 1205562279
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ethan Kellum, Owner(901) 484-0837
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2042 Lascassas Pike Ste A4
Murfreesboro, TN 37130-2034
Phone: (901) 484-0837
Street-level locationGet directions
Mailing address
2042 Lascassas Pike Ste A4
Murfreesboro, TN 37130-2034
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2022-08-01
- Certified
- 2022-08-01
Frequently asked questions
- What is Awcc's NPI number?
- Awcc's National Provider Identifier (NPI) is 1205562279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Awcc?
- Awcc is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Awcc located?
- Awcc's practice location on file with NPPES is 2042 Lascassas Pike Ste A4, Murfreesboro, TN 37130-2034.
- What is Awcc's phone number?
- The practice phone number listed in the NPPES registry for Awcc is (901) 484-0837.
- Who is the authorized official for Awcc?
- The authorized official listed on Awcc's NPPES record is Ethan Kellum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Awcc's NPI active?
- Yes — Awcc's NPI (1205562279) is active in the NPPES registry as of the last update on 2022-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.