Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1013281161 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1013281161","entity_type_code":"2"} |
| pecos_enrlmt_id | O20120913000038 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1013281161","rule":"D-PECOS","enrlmt_id":"O20120913000038"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | DERRICK CLEMOW | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/25/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0143616938","source_pk":123334,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | BARBARA EVERETT | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/27/2016","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052707841","source_pk":123335,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | HOLLY HANSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"02/25/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2961898754","source_pk":123336,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | TOM MITCHELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"02/24/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3870989668","source_pk":123337,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | SUSAN M PEEPLES | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/19/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4486656659","source_pk":123338,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | MARC OVERLOCK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/19/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5698161487","source_pk":123339,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | BARBARA SMITH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/17/2019","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507252392","source_pk":123340,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | HERSCHEL MURNER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"25","association_date":"10/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315333101","source_pk":123341,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"25","role_text_owner":"CONTRACTED MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | CYNTHIA SMITH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"25","association_date":"10/01/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133515927","source_pk":123346,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"25","role_text_owner":"CONTRACTED MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | GEORGE CHITIYO | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/26/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9234525023","source_pk":123348,"type_owner":"I","enrollment_id":"O20120913000038","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
| ← owns | UPLANDS VILLAGE (TN) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"06/29/2012","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9638190754","source_pk":123349,"type_owner":"O","enrollment_id":"O20120913000038","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"UPLANDS VILLAGE"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1013281161 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2012-03-06 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | UPLANDS VILLAGE | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| parent_org_lbn | UPLANDS VILLAGE | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | TN | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1013281161: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…