Erwin Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

00000187 Issued in TN

Legal business name

ERWIN MEDICAL CLINIC

Practice address

1201 N Main Ave
Ste 3
Erwin, TN 37650-9168

Phone

(423) 743-9994

Fax

(423) 743-9995

NPI assigned

Jun 16, 2005

Last updated

Aug 22, 2020By 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

Mr. Randall Dixon, PA-C, MBA

Title

Physician Assistant

Phone

(423) 743-9994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629073630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BROWNS MILL RD",
            "address_2": "STE 6-222",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044100",
            "telephone_number": "423-743-9994",
            "fax_number": "423-743-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MAIN AVE",
            "address_2": "STE 3",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376509168",
            "telephone_number": "423-743-9994",
            "fax_number": "423-743-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWIN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "423-743-9994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "00000187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erwin Dental Associates, P.C.
• Erwin Dental, P.L.L.C.
• Erwin Eye Care PLLC
• Erwin Health Care Associates LTD (Erwin Health Care Center)
• Erwin Healthcare LLC
• Erwin Physical Therapy
• Erwin Physical Therapy, Inc
• Family Medical Associates, LLC
• Jennifer Lee Farnor
• Cleo B Farr, LPC/ MHSP

• Primary Care Clinic/Center in Erwin, TN
• Providers in Erwin, TN by specialty
• Primary Care Clinic/Center in Tennessee

• 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.