Jeffery Easterly, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34802 Issued in TN

Practice address

129 Montgomery LN
Maryville, TN 37803-5649

Phone

(865) 681-1224

NPI assigned

Jun 20, 2006

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

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeasterly872741@direct.ghs.myhfn.org

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.

• Easterly Family Medicine

  • Family Medicine Physician
  • Maryville, TN
  • NPI 1649538802
  Medicare reassignment NPD
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Medicare reassignment NPD
• Parkwest Medical Center

  dba Peninsula Hospital A Division of Parkwest Medical Center

  • Psychiatric Hospital
  • Louisville, TN
  • NPI 1558343566
  NPD
• Appalachian Development LLC

  • Family Medicine Physician
  • Maryville, TN
  • NPI 1184740763
  NPD (past)
• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  NPD (past)
• Summit Medical Group, PLLC

  dba Thwing Medical Group

  • Family Medicine Physician
  • Greeneville, TN
  • NPI 1689753212
  NPD (past)
• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470
  NPD (past)
• Uhs Ventures

  dba UT Urgent Care Centers

  • Urgent Care Clinic/Center
  • Sevierville, TN
  • NPI 1235669680
  NPD (past)

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

• Prisma Health - Blount Memorial Hospital Inc.

  dba Blount Memorial Hospital

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1134165178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MONTGOMERY LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035649",
            "telephone_number": "865-681-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MONTGOMERY LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035649",
            "telephone_number": "865-681-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLY",
        "first_name": "JEFFERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00238548",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3866200",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Foot Clinic PC
• East Tennessee Oral & Maxillofacial Surgery, PC
• East Tennessee Senior Care (Home Instead)
• Cynthia J Easter, M.D.
• Easterly Family Medicine
• Jeffrey Jennings Eberting, D.M.D.
• Edc Chiropractic Inc. (Watts Chiropractic)
• Bethany Edmond
• Emery Edmondson, DO
• Grace Ann Rose Eldridge

• Family Medicine Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.