Medical Education Assistance Corporation

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2211 Issued in TN

Legal business name

MEDICAL EDUCATION ASSISTANCE CORPORATION

Practice address

BLDG 119, Dogwood LN
Veterans Adminstration
Mountain Home, TN 37684

Phone

(423) 439-6210

Fax

(423) 439-8060

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Russell E Lewis

Title

Executive Director

Phone

(423) 433-6050

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ETSU Dept of Pathology Other name

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1669545406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699",
            "telephone_number": "423-433-6050",
            "fax_number": "423-433-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 119, DOGWOOD LN",
            "address_2": "VETERANS ADMINSTRATION",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-439-6210",
            "fax_number": "423-439-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDUCATION ASSISTANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-433-6050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABS GROUP NPI",
            "identifier": "1235200676",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2211",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "44D0659144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETSU Dept of Pathology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ETSU Dept of Pathology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica McKinney, PHD
• Thomas Stone McNees, R.D.
• Kami Meade, NP
• Medical Education Assistance Corporation
• Medical Education Assistance Corporation
• Medical Education Assistance Corporation
• Medical Education Assistance Corporation University Physicians Practic
• Medical Genetics Lab
• Gerald Steven Meredith, PMH-NP
• Carolyn Diane Miller, P.T.

• Anatomic Pathology & Clinical Pathology Physician in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.