Individual provider Active NPI

John Henry Eason Jr., MD

  • Surgery Physician
  • Lenoir City, TN
National Provider Identifier
1285701987
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD0000021520 Issued in TN
Practice address
460 Medical Park Dr Ste 106
Lenoir City, TN 37772-5782
Phone
(865) 988-4452
Fax
(865) 988-6293
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

460 Medical Park Dr
Suite 106
Lenoir City, TN 37772-5782
Phone (865) 988-4452

Hospital & facility affiliations

  • NHC Homecare Athens Home health agency, Athens, TN, CCN 447449
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Select Specialty Hospital-North Knoxville Long-term care hospital, Powell, TN, CCN 442015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue293
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090316000570 TN Practitioner - General Surgery 1850458027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000021520TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Care Surgical Associates P C Surgery CurrentSince Feb 1, 1998 Accepting new patients
Roane County Medical Center Past Accepting new patients
Premier Surgical Associates, PLLC Surgery Past Accepting new patients
Premier Surgical Associates, PLLC Surgery PastSince Sep 29, 2006 Accepting new patients
Fort Loudoun Medical Center Past Accepting new patients

Locations

423 Medical Park Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 271-6600

460 Medical Park Dr
Ste 106
Lenoir City, TN 37772
Phone (865) 988-4452

Interoperability endpoints

  • Direct secure messaging: jeason@selectcaresurg.qrsdm.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD0000021520 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

460 Medical Park Dr Ste 106
Lenoir City, TN 37772-5782

Mailing address

460 Medical Park Drive
Suite 106
Lenoir City, TN 37772-5782
Phone (865) 988-4452

Other identifiers 10

NPPES NPI Registry
IdentifierTypeStateIssuer
100010807OtherTNPHP TENNCARE
62-1762205OtherTNGROUP TAX ID
1740052OtherUNITED HEALTH CARE
3061848MedicaidTN
3081453OtherTNBLUE CARE
1962443069OtherNPI NO FOR GROUP ONLY DOC
3081453OtherTNBLUE CROSS BLUE SHIELD OF
020049205OtherTNMEDICARE RAILROAD
282829OtherONE HEALTH
4359544002OtherCIGNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2012.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1285701987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DRIVE",
            "address_2": "SUITE 106",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-988-4452",
            "fax_number": "865-988-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR STE 106",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-988-4452",
            "fax_number": "865-988-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000021520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100010807",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "62-1762205",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1740052",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061848",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "3081453",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NO FOR GROUP ONLY DOC",
            "identifier": "1962443069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "3081453",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020049205",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH",
            "identifier": "282829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4359544002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.