Mancel Wakham LLC
NPI 1487475067 · Family Medicine Physician · Kingston, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mancel Wakham LLC is a Family Medicine Physician organization in Kingston, TN (NPI 1487475067).
Provider details
- NPI number
- 1487475067
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mancel Wakhem, Owner(865) 621-3601
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Frequently asked questions
- What is Mancel Wakham LLC's NPI number?
- Mancel Wakham LLC's National Provider Identifier (NPI) is 1487475067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mancel Wakham LLC?
- Mancel Wakham LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mancel Wakham LLC located?
- Mancel Wakham LLC's practice location on file with NPPES is 1000 Bradford Way Ste 500, Kingston, TN 37763-3126.
- What is Mancel Wakham LLC's phone number?
- The practice phone number listed in the NPPES registry for Mancel Wakham LLC is (865) 621-3601.
- Does Mancel Wakham LLC accept Medicare?
- Mancel Wakham LLC 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 Mancel Wakham LLC?
- The authorized official listed on Mancel Wakham LLC's NPPES record is Mancel Wakhem, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mancel Wakham LLC's NPI active?
- Yes — Mancel Wakham LLC's NPI (1487475067) is active in the NPPES registry as of the last update on 2024-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.