Organization Active NPI

East Tennessee Internal Medicine Associates PC C/O Brooks Morelock

  • Internal Medicine Physician
  • Greeneville, TN
National Provider Identifier
1205898673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000030796 Issued in TN
Legal business name
EAST TENNESSEE INTERNAL MEDICINE ASSOCIATES PC C/O BROOKS MORELOCK
Practice address
1406 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4332
Phone
(423) 787-1024
Fax
(423) 787-1050
NPI assigned
Apr 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brooks Garth Morelock, MD
Title
President
Phone
(423) 787-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000030796 TN Primary

Addresses

Primary practice location

1406 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4332

Mailing address

1406 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4332
Phone (423) 787-1024

Other identifiers 4

IdentifierTypeStateIssuer
4047882OtherTNBLUE CROSS/BLUE SHIELD
TN0101OtherTNJOHN DEERE
5408651OtherTNCIGNA
3384756MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205898673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-787-1024",
            "fax_number": "423-787-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-787-1024",
            "fax_number": "423-787-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE INTERNAL MEDICINE ASSOCIATES PC C/O BROOKS MORELOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORELOCK",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "GARTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-787-1024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000030796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4047882",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5408651",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3384756",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.