Jeffrey Lundy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD16241 Issued in TN

Practice address

200 W Church St
Lexington, TN 38351-2038

Phone

(731) 968-3646

Fax

(731) 968-1870

NPI assigned

May 27, 2005

Reactivated

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Beechlake Emergency Physicians

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1124077748
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Morristown, TN
  • NPI 1598714826
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Emergency Physicians of Portland, PLLC

  • Emergency Medicine Physician
  • Portland, TN
  • NPI 1568401420
  NPD (past)
• Shiloh Emergency Physicians LLC

  • Emergency Medicine Physician
  • MC Kenzie, TN
  • NPI 1609825462
  NPD (past)
• Sycamore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1346264975
  NPD (past)
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1316940893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 Magnolia Ct",
            "address_purpose": "LOCATION",
            "city": "Kingston Springs",
            "state": "TN",
            "postal_code": "370828931",
            "country_code": "US",
            "telephone_number": "615-952-5133",
            "fax_number": "615-952-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TN",
            "postal_code": "380121610",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 E Main St",
            "address_purpose": "LOCATION",
            "city": "Erin",
            "state": "TN",
            "postal_code": "370614115",
            "country_code": "US",
            "telephone_number": "336-944-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD16241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RRGA",
            "identifier": "P00293589",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3888932",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Lindsey
• Crystal Livingston
• Natasha Mae Loftin
• Brandi La'Shelle Long, O.D.
• Carol R Luckey, NP
• Jacob McKinley Maness
• Melinda S Maranto, NP-C
• Nathan Martz
• Douglas R Mays, SLP/CCC
• Page Boen McBay, R.N.

• Family Medicine Physician in Lexington, TN
• Providers in Lexington, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.