John A Stewart, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000027879 Issued in TN

Practice address

353 New Shackle Island Rd
Ste 107a
Hendersonville, TN 37075-2379

Phone

(615) 264-6116

Fax

(615) 264-4741

NPI assigned

Sep 20, 2005

Last updated

Jan 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yazoo City Medical Clinic PA

  • Family Medicine Physician
  • Yazoo City, MS
  • NPI 1174696330
  NPD (past)
• Yazoo Family Medicine PA

  dba The Yazoo City Medical Clinic

  • Family Medicine Physician
  • Yazoo City, MS
  • NPI 1770745861
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1710973342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "STE 107A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-264-6116",
            "fax_number": "615-264-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "STE 107A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-264-6116",
            "fax_number": "615-264-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000027879",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000027879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4053371",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3866840",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7017145",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart Chiropractic Center PC (Stewart Chiropractic Center)
• Stewart Chiropractic Center PC (Stewart Chiropractic Center)
• Angela Kim Stewart, M.S, CCC-SLP
• Clare Louise Stewart, D.C.
• Conner Stewart
• Katherine Blane Stewart, DNP, APRN, ACNP-BC
• Raelynn Michelle Stewart
• Samuel Thomas Stewart, D.C.
• Kiya Stickel
• Kaitlyn Stocks, OT

• Family Medicine Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.