DRS Coffey Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DRS COFFEY INTERNAL MEDICINE LLC

Practice address

377 Industrial LN
Oneida, TN 37841-6276

Phone

(423) 286-4000

Fax

(423) 286-4001

NPI assigned

Jan 15, 2019

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Hughett Chambers

Title

Manager

Phone

(423) 215-6957

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1013481704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416276",
            "telephone_number": "423-286-4000",
            "fax_number": "423-286-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416276",
            "telephone_number": "423-286-4000",
            "fax_number": "423-286-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS COFFEY INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "HUGHETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-215-6957"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "48605",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "22393",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "09950",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF OSTEOPATHY",
            "identifier": "2651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Wyatt Denzler, RPH
• Discover Health Care of Oneida, PLLC
• Amanda J Dougan
• Tara Mistell Douglas
• DRS Coffey (Life Choices Wellness Clinic)
• Irene Duck, DMD
• Raelan Duncan, NP
• Anthony Blake Dunlap, PHARM. D.
• Sarah L Dunlap, C.PH.T.
• East Tennessee Addiction Specialists

• Internal Medicine Physician in Oneida, TN
• Providers in Oneida, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.