Active NPI
Morgan Wade McClain, M.D.,
- Emergency Medicine Physician
- Johnson City, TN
National Provider Identifier
1710173653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 48022
- Practice address
- 917 W Walnut St
Johnson City, TN 37604-6527 - Phone
- (423) 439-6463
- NPI assigned
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48022 | TN | |
| Emergency Medicine Physician | 207P00000X | 48022 | TN | Primary |
Addresses
Primary practice location
917 W Walnut St
Johnson City, TN 37604-6527
Mailing address
917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 439-6463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48022 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1710173653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 W WALNUT ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046527",
"telephone_number": "423-439-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 W WALNUT ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046527",
"telephone_number": "423-439-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "MORGAN",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "48022",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "48022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.