NPIMap

Individual provider Active NPI

John Cochran McKeown, M.D.

  • Family Medicine Physician
  • Palmer, TN
National Provider Identifier
1124157391
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD29059 Issued in TN
Practice address
2578 Main St
Palmer, TN 37365-2730
Phone
(931) 779-3691
Fax
(931) 779-3690
NPI assigned
Mar 5, 2007
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD29059 TN
Family Medicine Physician 207Q00000X MD29059 TN Primary

Addresses

Primary practice location

2578 Main St
Palmer, TN 37365-2730

Mailing address

PO Box 100
Palmer, TN 37365-0100
Phone (931) 779-3691

Other identifiers 2

IdentifierTypeStateIssuer
3811917MedicaidTN
P00386317OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921001014 TN Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 1850325606 Receives reassigned benefits from 1 practitioner
Practice locations: Palmer, TN

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Medical College of Georgia School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2578 Main St
Palmer, TN 37365-2730
Phone (931) 779-3691

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29059TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John C McKeown MD Family Medicine PastSince Apr 1, 2015 Accepting new patients
Emergency Medical Associates Past Accepting new patients
John C McKeown, MD Family Medicine PastSince Apr 1, 2015 Accepting new patients
Amg-Southern Tennessee LLC Past Accepting new patients
Emergency Medical Associates Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEGADA/Endpoint/FEGADA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1124157391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PALMER",
            "state": "TN",
            "postal_code": "373650100",
            "telephone_number": "931-779-3691",
            "fax_number": "931-779-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 MAIN ST",
            "city": "PALMER",
            "state": "TN",
            "postal_code": "373652730",
            "telephone_number": "931-779-3691",
            "fax_number": "931-779-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "JOHN",
        "middle_name": "COCHRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD29059",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD29059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3811917",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00386317",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, TN

Sources for this page

Verify at the official NPI Registry.