Medexpress Urgent Care, PC - Tennessee

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS URGENT CARE, PC - TENNESSEE

Doing business as

A.O. Smith - Ashland City

Practice address

500 Tennessee Waltz Pkwy
Ashland City, TN 37015-1234

Phone

(615) 792-6220

Fax

(615) 792-2603

NPI assigned

Oct 11, 2021

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joy Kimball

Title

Contract Manager

Phone

(763) 349-6740

Specialties & licenses 1

Addresses

Other names 1

• A.O. Smith - Ashland City Doing business as

Tax ID family

Ao Smith - Ashland City2 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.

• Medexpress Urgent Care, PC - Tennessee

  dba Optum Virtual Care

  • Urgent Care Clinic/Center
  • Morgantown, WV
  • NPI 1114529955
  NPD tax ID

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1407518160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "304-225-2500",
            "fax_number": "304-985-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TENNESSEE WALTZ PKWY",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151234",
            "telephone_number": "615-792-6220",
            "fax_number": "615-792-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "763-349-6740"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.O. Smith - Ashland City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A.O. Smith - Ashland City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Michelle Lunsford, M.A.
• John Richard Manning, MD
• Jonathan Alan Martin, RN
• Tesha Marie Martin, LPN
• Megan McMahon, NP
• Medical Necessities, Inc.
• Medwest Family Practice, Inc.
• Ryan Jeffery Melton, PHARMD
• Keith Eugene Messer, MSW
• Barbara Mikhail

• General Practice Physician in Ashland City, TN
• Providers in Ashland City, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.