NPIMap

Organization Active NPI

Athens Physicians Practice LLC

Doing business as Medical Associates of Athens

  • Internal Medicine Physician
  • Athens, TN
National Provider Identifier
1306850144
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATHENS PHYSICIANS PRACTICE LLC
Doing business as
Medical Associates of Athens
Practice address
711 Cook Dr
Suite 110
Athens, TN 37303-3486
Phone
(423) 746-0122
Fax
(423) 745-9456
NPI assigned
Jul 28, 2006
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENS PHYSICIANS PRACTICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Jess N Judy
Title
President
Phone
(615) 372-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

711 Cook Dr
Suite 110
Athens, TN 37303-3486

Mailing address

711 Cook Dr
Suite 110
Athens, TN 37303-3486
Phone (423) 746-0122

Other identifiers 2

IdentifierTypeStateIssuer
3374004MedicaidTN
CJ3773OtherMEDICARE RAILROAD

Other names 1

  • MEDICAL ASSOCIATES OF ATHENS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924000294 TN Part B Supplier - Clinic/Group Practice 2163490319 Receives reassigned benefits from 56 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, TN; Etowah, TN; Charleston, TN

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Athens Physicians Prac

Locations

711 Cook Dr
Ste 110
Athens, TN 37303
Phone (423) 746-0122

711 Cook Dr
Ste 200
Athens, TN 37303
Phone (423) 507-8369

Practitioners & affiliated clinicians

Practitioners 4

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1306850144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 110",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-746-0122",
            "fax_number": "423-745-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 110",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-746-0122",
            "fax_number": "423-745-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PHYSICIANS PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENS PHYSICIANS PRACTICE LLC",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374004",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ3773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ASSOCIATES OF ATHENS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.