Organization Active NPI

First Med Inc

Doing business as First Med Gatlinburg

  • Physician Assistant
  • Gatlinburg, TN
National Provider Identifier
1376961979
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
914 Issued in TN
Legal business name
FIRST MED INC
Doing business as
First Med Gatlinburg
Practice address
1015 E Parkway
Gatlinburg, TN 37738-5057
Phone
(865) 446-4032
Fax
(865) 868-4746
NPI assigned
Apr 1, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Robert M Maughon, M.D.
Title
Owner
Phone
(865) 446-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 914 TN Primary

Addresses

Primary practice location

1015 E Parkway
Gatlinburg, TN 37738-5057

Mailing address

1015 E Parkway
Gatlinburg, TN 37738-5057
Phone (865) 446-4032

Other names 1

  • First Med Gatlinburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Med Gatlinburg2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1376961979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E PARKWAY",
            "city": "GATLINBURG",
            "state": "TN",
            "postal_code": "377385057",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E PARKWAY",
            "city": "GATLINBURG",
            "state": "TN",
            "postal_code": "377385057",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "MAUGHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-446-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Med Gatlinburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatlinburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.