Individual provider Active NPI

Joshua Steven McGrew

  • Physician Assistant
  • Athens, TN
National Provider Identifier
1104497965
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4605 Issued in TN
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

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002869 TN Practitioner - Physician Assistant 4486052230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4605TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
The Cornerstone of Recovery, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshua.mcgrew.1@19899.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.