Active NPI
Morristown Clinic Corp
- Internal Medicine Physician
- Morristown, TN
National Provider Identifier
1700990959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MORRISTOWN CLINIC CORP
- Practice address
- 1907 W Morris Blvd
Suite D
Morristown, TN 37813-3860 - Phone
- (423) 581-0064
- Fax
- (423) 681-0065
- NPI assigned
- Aug 17, 2006
- Organization subpart
- Yes
- Parent organization
- MORRISTOWN CLINIC CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie T Brewer
- Title
- Director of Provider Enrollment
- Phone
- (615) 465-7000
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | TN | Primary | |
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Urology Physician | 208800000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1907 W Morris Blvd
Suite D
Morristown, TN 37813-3860
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0980 | Other | TN | RAILROAD MEDICARE PIN |
| 3370262 | Medicaid | TN |
National Provider Directory
National Provider Directory- Part of
- Morristown Clinic Corp
Locations
179 Millers Landing Blvd
Ste B
Morristown, TN 37813
Phone (423) 318-6093
305 N Bellwood Rd
#R
Morristown, TN 37814
Phone (423) 587-8200
1907 W Morris Blvd
Ste E
Morristown, TN 37813
Phone (423) 317-3755
1907 W Morris Blvd
Ste D
Morristown, TN 37813
Phone (423) 581-0064
179 Millers Landing Blvd
Morristown, TN 37813
Phone (865) 977-7115
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Morristown, TN
- NPI 1972501534
Obstetrics & Gynecology
-
- Hospitalist Physician
- Kingsport, TN
- NPI 1346248879
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Jefferson City, TN
- NPI 1255339784
Obstetrics & Gynecology
-
- Family Medicine Physician
- Huntsville, TN
- NPI 1407872617
Family Medicine
-
- Internal Medicine Physician
- Jefferson City, TN
- NPI 1508896952
Internal Medicine
-
- Vascular Surgery Physician
- Grand Blanc, MI
- NPI 1730114448
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1700990959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 COMMERCE WAY",
"address_2": "SUITE 180",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272829",
"telephone_number": "615-465-7000",
"fax_number": "615-465-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W MORRIS BLVD",
"address_2": "SUITE D",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378133860",
"telephone_number": "423-581-0064",
"fax_number": "423-681-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRISTOWN CLINIC CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MORRISTOWN CLINIC CORP",
"enumeration_date": "2006-08-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "615-465-7000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "DN0980",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3370262",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.