Active NPI
Overhome Medical Care PC
- Medical Physician Assistant
- Mountain City, TN
National Provider Identifier
1396182986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1107
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 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 DirectoryNPI 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.