Active NPI
Joshua Steven McGrew
- Physician Assistant
- Athens, TN
National Provider Identifier
1104497965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4605
- Practice address
- 214 E Madison Ave
Athens, TN 37303-3646 - Phone
- (423) 405-1990
- NPI assigned
- Jul 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4605 | TN | Primary |
Addresses
Primary practice location
214 E Madison Ave
Athens, TN 37303-3646
Mailing address
2080 Chambliss Ave NW Ste 2
Cleveland, TN 37311-3894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4605 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cornerstone of Recovery, Inc. | Past | Accepting new patients |
Interoperability endpoints
- joshua.mcgrew.1@19899.direct.athenahealth.com
- joshua.mcgrew@164749367312388.direct.elationemr.com
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Knoxville, TN
- NPI 1760940613
-
- Substance Abuse Rehabilitation Facility
- Louisville, TN
- NPI 1558479758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1104497965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CHAMBLISS AVE NW STE 2",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033646",
"telephone_number": "423-405-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREW",
"first_name": "JOSHUA",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.