NPIMap

Organization Active NPI

John C McKeown MD

Doing business as Palmer Medical Clinic

  • Family Medicine Physician
  • Palmer, TN
National Provider Identifier
1194268938
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN C MCKEOWN MD
Doing business as
Palmer Medical Clinic
Practice address
2578 Main St
Palmer, TN 37365-2730
Phone
(931) 779-3691
Fax
(931) 779-3690
NPI assigned
Nov 28, 2016
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
John C. McKeown, MDNPI 1124157391
Title
Single Member/Owner
Phone
(931) 779-3691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2578 Main St
Palmer, TN 37365-2730

Mailing address

PO Box 25303
Chattanooga, TN 37422-5303

Other names 1

  • Palmer Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John C McKeown MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1194268938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25303",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374225303"
        },
        {
            "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": {
        "organization_name": "JOHN C MCKEOWN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SINGLE MEMBER/OWNER",
        "authorized_official_telephone_number": "931-779-3691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.