Active NPI
Family Medicine of Jonesborough LLC
- Family Medicine Physician
- Jonesborough, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY MEDICINE OF JONESBOROUGH LLC
- Practice address
- 121 E Main St
Jonesborough, TN 37659-1317 - Phone
- (423) 788-0123
- Fax
- (888) 723-8410
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Jewett, MD
- Title
- Owner
- Phone
- (423) 788-0123
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
121 E Main St
Jonesborough, TN 37659-1317
Mailing address
PO Box 556
Jonesborough, TN 37659-0556
Phone (423) 788-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3735554 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1058152 | Family Medicine of Jonesborough | Provider-performed microscopy | Aug 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
121 E Main St
Jonesborough, TN 37659
Phone (423) 788-0123
806 E Jackson Blvd
Ste 8
Jonesborough, TN 37659
Phone (423) 788-0123
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Jonesborough, TN
- NPI 1780648063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1346250644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 556",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376590556",
"telephone_number": "423-788-0123",
"fax_number": "888-723-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E MAIN ST",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376591317",
"telephone_number": "423-788-0123",
"fax_number": "888-723-8410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE OF JONESBOROUGH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "JEWETT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-788-0123",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3735554",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesborough, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.