Active NPI
McMinn Medical Group PLLC
- Preferred Provider Organization
- Athens, TN
National Provider Identifier
1689875429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- MCMINN MEDICAL GROUP PLLC
- Practice address
- 1031 W Madison Ave
Athens, TN 37303-3498 - Phone
- (423) 745-6575
- Fax
- (423) 746-4366
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Richard Sharpe, MD
- Title
- Physician
- Phone
- (423) 745-6575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
1031 W Madison Ave
Athens, TN 37303-3498
Mailing address
1031 W Madison Ave
P.O. Box 70
Athens, TN 37303-3498
Phone (423) 745-6575
Other names 1
- Athens Medical Group
National Provider Directory
National Provider DirectoryLocations
1204 Frye St
Athens, TN 37303
Phone (423) 745-0434
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Athens, TN
- NPI 1487667606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449187200000",
"number": "1689875429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 W MADISON AVE",
"address_2": "P.O. BOX 70",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033498",
"telephone_number": "423-745-6575",
"fax_number": "423-746-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 W MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033498",
"telephone_number": "423-745-6575",
"fax_number": "423-746-4366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMINN MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2015-12-04",
"status": "A",
"authorized_official_last_name": "SHARPE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "423-745-6575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Athens Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.