Individual provider Active NPI

Meade Castleton Edmunds III, MD

  • Gastroenterology Physician
  • Knoxville, TN
National Provider Identifier
1376519074
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD26426 Issued in TN
Practice address
4713 Papermill Dr
Knoxville, TN 37909-1908
Phone
(865) 851-7771
Fax
(865) 851-7835
NPI assigned
Feb 23, 2006
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD26426 TN Primary

Addresses

Primary practice location

4713 Papermill Dr
Knoxville, TN 37909-1908

Mailing address

4713 Papermill Dr Ste 100
Knoxville, TN 37909-1924
Phone (865) 851-7771

Other identifiers 1

IdentifierTypeStateIssuer
Q008655MedicaidTN

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
I20101122000783 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 9537196282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmunds Gastroenterology PLLCGroup PAC ID 4486908969, 4 clinicians

Practice addresses (Care Compare)

4713 Papermill Dr
Knoxville, TN 37909-1908
Phone (865) 851-7771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.2 of 100Reported as group
Quality
70.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy579
Upper gastrointestinal (GI) endoscopy for acid reflux697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26426TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edmunds Gastroenterology, PLLC Gastroenterology CurrentSince Sep 17, 2018 Accepting new patients

Locations

4713 Papermill Dr
Knoxville, TN 37909
Phone (865) 696-2906

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1376519074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 PAPERMILL DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091924",
            "telephone_number": "865-851-7771",
            "fax_number": "865-851-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091908",
            "telephone_number": "865-851-7771",
            "fax_number": "865-851-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "MEADE",
        "middle_name": "CASTLETON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD26426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008655",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.