Organization Active NPI

Overhome Medical Care PC

  • Medical Physician Assistant
  • Mountain City, TN
National Provider Identifier
1396182986
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1107 Issued in TN
Legal business name
OVERHOME MEDICAL CARE PC
Practice address
919 Medical Park Dr
Mountain City, TN 37683-1042
Phone
(423) 727-7800
Fax
(423) 727-2496
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Daniel C Jones, PA-C
Title
President
Phone
(423) 727-7138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 1107 TN Primary

Addresses

Primary practice location

919 Medical Park Dr
Mountain City, TN 37683-1042

Mailing address

919 Medical Park Dr
Mountain City, TN 37683-1042
Phone (423) 727-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1396182986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MEDICAL PARK DR",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831042",
            "telephone_number": "423-727-7800",
            "fax_number": "423-727-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MEDICAL PARK DR",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831042",
            "telephone_number": "423-727-7800",
            "fax_number": "423-727-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERHOME MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-727-7138",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.