Timothy Malcolm Mead

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12052009162300420 Issued in ZZ

Practice address

2108 Anderson St
Bristol, TN 37620-1916

Phone

(276) 285-8906

NPI assigned

Oct 8, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bsbymf. LLC

  dba bsbyMFclinical

  • Adult Companion
  • Kingsport, TN
  • NPI 1952120610

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1023837911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CHADWICK DR APT 6",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605661",
            "telephone_number": "276-285-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 ANDERSON ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201916",
            "telephone_number": "276-285-8906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201916",
            "country_code": "US",
            "telephone_number": "276-285-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAD",
        "first_name": "TIMOTHY",
        "middle_name": "MALCOLM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "12052009162300420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann McNutt
• Jeffrey McQueary, MD
• Sheri Leonard McRae, DNP, APRN, PMHNP-BC
• Tameria McRath
• Roger J McSharry, MD
• Michelle M Meade, NP
• Med One of Tennessee PC
• Jan Showalter Medeiros, RPH
• Medexpress Urgent Care, PC - Tennessee
• Medical Education Assistance Corporation

• General Practice Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.