Mdconnect Healthcare Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MDCONNECT HEALTHCARE CORPORATION

Practice address

1612 Downtown West Blvd
Knoxville, TN 37919-5408

Phone

(800) 926-3047

Fax

(941) 296-8588

NPI assigned

Apr 14, 2018

Organization subpart

No

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

Authorized official

Name

Bradley Scott Grevious

Title

Chief Executive Officer

Phone

(941) 914-8286

Specialties & licenses 2

Addresses

Other names 1

• MDConnect LLC Former legal business name

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1093202137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 E STATE ROAD 70 UNIT 110",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029407",
            "telephone_number": "800-926-3047",
            "fax_number": "941-296-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 DOWNTOWN WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195408",
            "telephone_number": "800-926-3047",
            "fax_number": "941-296-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCONNECT HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GREVIOUS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "941-914-8286"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDConnect LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pamela McWhorter, RN
• Rebecca McWilliams, CRNA
• Reedie McWilliams, SC/CM
• Sonya Renee McWilliams, FNP
• MD Webber PC
• Mdptn Physicians, P.C.
• Courtney Meade
• James Meade
• Kristine Marie Meade, FNP-BC
• Tricia Michele Meade, B.A.

• Clinical Medical Laboratory in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.