Organization Active NPI

McMinn Medical Group PLLC

  • Preferred Provider Organization
  • Athens, TN
National Provider Identifier
1689875429
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
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

Updated by the provider on Dec 4, 2015

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.