Womens Center of East Tennessee PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WOMENS CENTER OF EAST TENNESSEE PC

Practice address

135 N Meadows Dr Ste B
Athens, TN 37303-4172

Phone

(423) 507-8067

Fax

(423) 507-0952

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher MullinNPI 1598738023

Title

Owner

Phone

(423) 339-1400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Lifecircle Womens Health Care PC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1790423457

  Sold to, 2022-07-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Noel Mullin, M.D.

  • Obstetrics & Gynecology Physician
  • Cleveland, TN
  • NPI 1598738023
  NPD (past) Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1134324510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113869",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MEADOWS DR STE B",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034172",
            "telephone_number": "423-507-8067",
            "fax_number": "423-507-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CENTER OF EAST TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-339-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tyelar Williams, M.D.
• Brianna Williamson
• Alexander Keith Williiams, DPT
• Allie Marie Wilson
• Sheila Carnes Wilson, LCSW
• Heather Woods
• Clara Dianne Young, RN
• Grace Margaret Young, AUD, CCC-A
• Dawit Zemichael, MD

• Rural Health Clinic/Center in Athens, TN
• Providers in Athens, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.