Eugene Wayne Dupas Jr.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

876 Issued in TN

Practice address

7628 Tazewell Pike
Corryton, TN 37721-2910

Phone

(225) 892-0212

NPI assigned

Mar 11, 2019

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1083172936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 CARTER VIEW LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379243442",
            "telephone_number": "225-892-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7628 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377212910",
            "telephone_number": "225-892-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Carter View Ln",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379243442",
            "country_code": "US",
            "telephone_number": "225-892-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPAS",
        "first_name": "EUGENE",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett P Carter, PHARMD
• Jason Chen
• Corryton Medical Center P.C.
• Crossroads Pharmacy, LLC
• Jessica Dison, COTA/L
• Jordan L Dyer, FNP
• Nicole D Dykes
• Family Medical Care Center, LLC
• Family Practice of Corryton
• Farmer Practice LLC (Family Practice of Corryton)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Corryton, TN
• Providers in Corryton, TN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.