Easterly Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000034802 Issued in TN

Legal business name

EASTERLY FAMILY MEDICINE

Practice address

104 Parliament Drive
Maryville, TN 37804-6209

Phone

(865) 233-7425

Fax

(865) 981-4239

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey Easterly

Title

Owner

Phone

(865) 233-7425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jeffery Easterly, MD

  • Family Medicine Physician
  • Maryville, TN
  • NPI 1134165178
  Medicare reassignment NPD
• Dana Elizabeth Smith, FNP-C

  • Family Nurse Practitioner
  • Alcoa, TN
  • NPI 1972212090
  Medicare reassignment NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1649538802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARLIAMENT DRIVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046209",
            "telephone_number": "865-233-7425",
            "fax_number": "865-981-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARLIAMENT DRIVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046209",
            "telephone_number": "865-233-7425",
            "fax_number": "865-981-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERLY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "EASTERLY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-233-7425"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000034802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Dialysis Center Inc
• East Tennessee Foot Clinic PC
• East Tennessee Oral & Maxillofacial Surgery, PC
• East Tennessee Senior Care
• Cynthia J Easter, M.D.
• Jeffery Easterly, MD
• Jeffrey Jennings Eberting, D.M.D.
• Edc Chiropractic Inc.
• Bethany Edmond
• Emery Edmondson, DO

• Family Medicine Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.