Organization Active NPI

Cresent Medical, PLLC

  • Family Medicine Physician
  • Morristown, TN
National Provider Identifier
1508916610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CRESENT MEDICAL, PLLC
Practice address
220 N Fairmont Ave
Morristown, TN 37814-3768
Phone
(423) 586-1811
Fax
(423) 581-6637
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wayne McLemore, M.D.
Title
President
Phone
(423) 586-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

220 N Fairmont Ave
Morristown, TN 37814-3768

Mailing address

220 N Fairmont Ave
Morristown, TN 37814-3768
Phone (423) 586-1811

National Provider Directory

National Provider Directory

Locations

231 S Fairmont Ave
Ste 1
Morristown, TN 37813

231 S Fairmont Ave
Morristown, TN 37813
Phone (423) 587-3480

220 N Fairmont Ave
Morristown, TN 37814
Phone (423) 585-4003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508916610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "423-586-1811",
            "fax_number": "423-581-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N FAIRMONT AVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143768",
            "telephone_number": "423-586-1811",
            "fax_number": "423-581-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESENT MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-586-1811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.