Mednorth Group PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDNORTH GROUP PLLC

Practice address

3000 Greystone SQ
Jackson, TN 38305-3589

Phone

(731) 664-5150

Fax

(731) 664-5059

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph David Blankenship, MD

Title

Owner and President

Phone

(731) 664-5150

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: josephblankenship@mednorth.allscriptsdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe David Blankenship, M.D.

  • Specialist
  • Jackson, TN
  • NPI 1437115763

  TN

  Medicare reassignment NPD
• Randy A Earls, APN

  • Adult Health Nurse Practitioner
  • Union City, TN
  • NPI 1821054669
  NPD (past)
• Teresa Watson Floyd, APRN

  • Family Nurse Practitioner
  • Fort Campbell, KY
  • NPI 1548453962
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1770549693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "731-664-5150",
            "fax_number": "731-664-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "731-664-5150",
            "fax_number": "731-664-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNORTH GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "731-664-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "1430",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729018",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "165539",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4102813",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Necessities & Services LLC
• Medical Specialty Clinic P.C.
• Medistat, Inc
• Marlin Medlin, M.ED.
• Brad Medling, PHARM.D
• Robert S Meek, M.D.
• Marcus E Meekins, MD
• Ushma Mehta, PT
• John Bailey Meinz
• Jerry Melcher, CLINICAL PSYCHOLOGIS

• All providers in Jackson, TN
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.