MISTY D SLATER (MD) – Family Medicine Physician, NPI 1073780441

MISTY D SLATER (MD) is a healthcare provider. based in Manchester, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35 (OH). The NPI Number for MISTY D SLATER (MD) is 1073780441

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MISTY D SLATER (MD)
NPI
1073780441
Phone
(931) 728-4718
Address
482 INTERSTATE DR
Enumeration Date
14 May 2008
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9317284718
Graduation Year
2005 (21 years ago)
PAC ID
9537231352
Group Practice PAC ID
1456317783
Professional Enrollment ID
I20200323002539
Address ID
TN373553109MA482XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:18State licenses:4Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for MISTY D SLATER (MD)

  • 482 INTERSTATE DR

    MANCHESTER, TN 373553485

    Phone: (931) 728-4718

    Fax: (931) 728-1016

    Type: Mailing

  • PO BOX 38

    FAYETTEVILLE, TN 373340038

    Phone: (931) 227-4984

    Fax: (931) 227-4985

    Type: Mailing

  • 2330, Thornton Taylor Parkway, Fayetteville, Lincoln County, Tennessee, 37334, United States

    FAYETTEVILLE, TN 37334

    Phone: (931) 227-4984

    Fax: (931) 227-4985

    Type: Location

  • 101 SIVLEY RD SW

    HUNTSVILLE, AL 358014421

    Phone: (256) 265-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: PFIZER INC. ($39).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160711000837IFamily PracticeTNTBD
I20200323002539IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes181179$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11745$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes108107$0
99239Hospital discharge day management, more than 30 minutes4338$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 37355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456317783View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Clinical Social WorkerNY
Clinical Social WorkerTN
Nurse PractitionerTN
Internal MedicineIL
Clinical Social WorkerTN
Clinical Social WorkerTN
Nurse PractitionerTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Is MISTY D SLATER (MD) listed with a National Provider Identifier?
Yes — MISTY D SLATER (MD) has NPI 1073780441 on file in the registry.
Would MISTY D SLATER (MD) appear as active to a payer?
You can treat MISTY D SLATER (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MISTY D SLATER (MD)?
MISTY D SLATER (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MISTY D SLATER (MD) associated with Manchester?
Public fields place MISTY D SLATER (MD) around Manchester, Tennessee. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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