MIRIAM B TEDDER (M.D.) – Family Medicine Physician, NPI 1609863422

MIRIAM B TEDDER (M.D.) is a healthcare provider. based in Harriman, Tennessee. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD10022 (TN). The NPI Number for MIRIAM B TEDDER (M.D.) is 1609863422

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM B TEDDER (M.D.)
NPI
1609863422
Phone
(865) 882-5701
Address
525A DEVONIA ST
Enumeration Date
6 October 2005
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8658820046
Graduation Year
1979 (47 years ago)
PAC ID
4486653797
Group Practice PAC ID
2860305463
Professional Enrollment ID
I20061214000484

Contacts

Secure Messaging
tedder.miriam@covenanthealth.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MIRIAM B TEDDER (M.D.)

  • Devonia Street, Harriman, Roane County, East Tennessee, Tennessee, 37748, United States

    HARRIMAN, TN 377482116

    Phone: (865) 882-5701

    Fax: (865) 882-2568

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-12-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20061214000484IFamily PracticeTNTBD

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
36415Insertion of needle into vein for collection of blood sample518267$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count416243$0
80048Blood test, basic group of blood chemicals (calcium, total)415239$0
80076Liver function blood test panel366231$0
80061Blood test, lipids (cholesterol and triglycerides)353227$0
View full utilization report →

Insurance plans in this area (ZIP 37748)

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Provider's Procedures

MIRIAM B TEDDER (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETN85610Blood test, clotting time15826

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: 2860305463View full group profile
NameSpecialtyState
Internal MedicineTN
Nurse PractitionerTN
Internal MedicineTN
Nurse PractitionerTN
Family PracticeTN
Orthopedic SurgeryTX
Family PracticeTN
Family PracticeTN
-TN
Physician AssistantTN

Reviews

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Frequently asked questions

Can I verify MIRIAM B TEDDER (M.D.) with an NPI only?
You can start verification with NPI 1609863422 for MIRIAM B TEDDER (M.D.), then check state licensing separately.
Is MIRIAM B TEDDER (M.D.) still practicing?
MIRIAM B TEDDER (M.D.) is currently listed as active in the public NPI registry.
What is MIRIAM B TEDDER (M.D.) best known for clinically?
Directory data describes MIRIAM B TEDDER (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MIRIAM B TEDDER (M.D.) based?
MIRIAM B TEDDER (M.D.) is tied to Harriman, Tennessee in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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