Active NPI
Jean R Murphy, MD
- Family Medicine Physician
- Kingston, TN
National Provider Identifier
1720024581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24679
- Practice address
- 4340 Decatur Hwy
Kingston, TN 37763-6734 - Phone
- (865) 717-6719
- NPI assigned
- Jun 21, 2006
- Last updated
- Jun 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24679 | TN | Primary |
Addresses
Primary practice location
4340 Decatur Hwy
Kingston, TN 37763-6734
Mailing address
4340 Decatur Hwy
Kingston, TN 37763-6734
Phone (865) 717-6719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110136882 | Other | TN | RR MEDICARE |
| 3077810 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1720024581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 DECATUR HWY",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377636734",
"telephone_number": "865-717-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 DECATUR HWY",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377636734",
"telephone_number": "865-717-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "JEAN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "24679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110136882",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077810",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, TN
- Porsha Hutchins Mills, M.A.
- Rachel Dawn Mitchell
- Yajaira Morales
- Kelli Morelock, OT
- Christopher D Mulhall, D.C
- Megan H Nelson, PA-C
- New Beginnings Behavioral Health Co
- Irene Mun NG, REGISTERED DIETICIAN
- Northland Hearing Centers, Inc. (Audibel Hearing Aid Center)
- Nwaloshin Dental PLLC (Kingston Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.